US5502944A - Medication dispenser system - Google Patents

Medication dispenser system Download PDF

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Publication number
US5502944A
US5502944A US08/161,899 US16189993A US5502944A US 5502944 A US5502944 A US 5502944A US 16189993 A US16189993 A US 16189993A US 5502944 A US5502944 A US 5502944A
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United States
Prior art keywords
medication
container
containers
units
holding
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US08/161,899
Inventor
Thomas L. Kraft
Lisa W. Rogers
Van Hoskins
Lou Waters
Robert Meyers
Kenneth E. Reynolds
Stuart S. Crader
David Loebig
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CareFusion 303 Inc
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Owen Healthcare Inc
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Priority to US08/161,899 priority Critical patent/US5502944A/en
Priority to CA002110774A priority patent/CA2110774A1/en
Assigned to OWEN HEALTHCARE, INC. reassignment OWEN HEALTHCARE, INC. ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: CRADER, STUART S., REYNOLDS, KENNETH E., LOEBIG, DAVID
Priority to EP94308968A priority patent/EP0656200A3/en
Application granted granted Critical
Publication of US5502944A publication Critical patent/US5502944A/en
Assigned to CARDINAL HEALTH 303, INC. reassignment CARDINAL HEALTH 303, INC. MERGER (SEE DOCUMENT FOR DETAILS). Assignors: CARDINAL HEALTH 109, INC.
Assigned to CARDINAL HEALTH 109, INC. reassignment CARDINAL HEALTH 109, INC. CHANGE OF NAME (SEE DOCUMENT FOR DETAILS). Assignors: OWEN HEALTHCARE, INC.
Assigned to CAREFUSION 303, INC. reassignment CAREFUSION 303, INC. CHANGE OF NAME (SEE DOCUMENT FOR DETAILS). Assignors: CARDINAL HEALTH 303, INC.
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    • GPHYSICS
    • G07CHECKING-DEVICES
    • G07FCOIN-FREED OR LIKE APPARATUS
    • G07F17/00Coin-freed apparatus for hiring articles; Coin-freed facilities or services
    • G07F17/0092Coin-freed apparatus for hiring articles; Coin-freed facilities or services for assembling and dispensing of pharmaceutical articles
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/10ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
    • G16H20/13ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients delivered from dispensers

Definitions

  • This invention relates in general to medical dispensing machines, and more particularly to a medical dispenser system to provide medications to nurses in a hospital setting.
  • medication orders are initiated by a physician, who contacts a pharmacist in the hospital's pharmacy.
  • the pharmacist enters information into the hospital's pharmacy computer system, which is typically implemented on a mainframe computer.
  • the pharmacy computer system maintains a database of information concerning each patient in the hospital and performs a number of functions necessary to enable the pharmacy to efficiently distribute medications.
  • the pharmacy computer system maintains information on each patient, such as the patient's location in the hospital, whether the patient has any allergies to medication, the diagnosis, if any, for the patient, the patient's primary physician, the patient's personal data (height, weight, age, blood type), the date of admission, and so on. Further, the pharmacy computer system maintains a database of medications which may be ordered by the physicians. This database may include, for example, the NDC code for the medication, the manufacturer, the brand name, the generic name, the dosage form, the location of the drug in the pharmacy, and pricing information.
  • the pharmacy system For each medication ordered for a patient, the pharmacy system maintains a database of the medication ordered, the frequency of administration, start and stop dates (and times) for administration, and the nursing station to which the medication should be delivered.
  • Pharmacy computer systems have been widely available since at least 1985. Their availability has greatly increased the accuracy and efficiency of the hospital pharmacy.
  • the pharmacy Based on the information in the pharmacy computer system, the pharmacy prepares the medications for each patient. Carts containing the medications are brought to the nursing stations, where the nurse retrieves the medication for his or her patients and then administers the medication. Typically, a separate container holding the medications for each patient are provided on the cart. To aid the nurses, a medication administration report (MAR) is provided from the pharmacy computer system, so that the nurse can verify that each patient has received all scheduled medication. Some common medications, such as pain relievers, are kept at the nursing stations for retrieval by the nurses.
  • MAR medication administration report
  • This approach has significant problems. First, it is very time consuming and subject to human error. Second, it offers a very low level of security. Third, it has no means of accurately accounting for medication taken by the nurses, or other medical staff, from the nursing stations.
  • the medication dispenser of the present invention comprises a plurality of containers for holding medication units, packaging apparatus for containing one or more medication units in a package and robotics for manipulating a selected container to transfer one or more medication units from the container directly to said package.
  • This aspect of the present invention provides significant advantages over the prior art. Since medication is directly transferred from the container to the package, no cross-contamination occurs as part of the dispensing process. By placing dispensers around the hospital, the labor involved in providing medication to nurses is greatly reduced, and the accuracy in billing patients and maintaining the inventory of medications is greatly increased.
  • a plurality of such dispensers are networked together and connected to a common database of patient information, typically a pharmacy software system. Medications are automatically dispensed responsive to a user request in accordance with the information in the database.
  • the dispensers can communicate data for accounting and billing purposes, to the pharmacy system or to another system.
  • This aspect of the invention allows interfacing the dispensers with a pre-existing pharmacy system, which reduces costs for the hospital in equipment and training.
  • one or more of the containers in the dispenser are operable to preload a predetermined number of medication units, typically a single medication unit, in a holding area until the medication units are requested. After the medication units are transferred to the packaging system responsive to a user request, new medication units are preloaded to the holding area in anticipation for the next request.
  • This aspect of the invention increases the speed with which medication units may be dispensed from the dispenser.
  • various containers for storing bulk medication, such as pills, and for storing irregular shaped medications, such as syringes, ampules and vials, are provided.
  • This aspect of the invention increases the number of medications which can be automatically dispensed.
  • FIG. 1 illustrates a block diagram of a medication dispensing system
  • FIG. 2 illustrates a perspective view of a medication dispenser used in the medication dispensing system of FIG. 1;
  • FIG. 3 illustrates a block diagram of the medication dispenser
  • FIG. 4 illustrates a block diagram of a system controller used in the medication dispenser
  • FIG. 5 illustrates a block diagram of the control electronics used in the medication dispenser
  • FIGS. 6a-b illustrate top and front views, respectively, of the carousel and robotics subsystems
  • FIGS. 7a-b illustrate side and front views of the extend arm and end effector in use with a medication container
  • FIGS. 8-9 illustrate perspective and exploded views of a bulk medication container
  • FIGS. 10a-c illustrate flow charts describing operation of the robotics and vision subsystems to dispense a single pill from the bulk medication dispenser of FIGS. 8 and 9;
  • FIGS. 11a-f illustrate pill configurations and respective energy profiles used in the vision subsystem singulation process
  • FIG. 12 illustrates an exploded view of a module container used in the medication dispenser
  • FIGS. 13 and 14 illustrate perspective views of different embodiments of the module container
  • FIGS. 15 and 16 illustrate cross-sectional side views of different embodiments of the module container
  • FIGS. 17 and 18 illustrate cross-sectional back views of the module container
  • FIG. 19 illustrates a detailed cross-sectional side view of the module container in a state for independent rotation of the cylinder and dispensing container portions
  • FIGS. 20 and 21 illustrate front and cross-sectional side views of the carousel receptacle
  • FIGS. 22 and 23 illustrate a preferred embodiment for mounting a container to the receptacle
  • FIG. 24 illustrates a front view of the packaging subsystem
  • FIGS. 25a-b illustrate the preferred embodiment of the packaging material used in the packaging subsystem of FIG. 24;
  • FIGS. 26a-b illustrate side and front views, relative to the container, illustrating the dispensing of a medication unit into the packaging subsystem
  • FIGS. 27a-c illustrate the gating for dispensing medication packages.
  • FIGS. 1-27 of the drawings like numerals being used for like and corresponding parts of the various drawings.
  • FIG. 1 illustrates a block diagram of the overall medication dispensing system 10.
  • the system 10 comprises a plurality of medication dispensers 12 coupled to a pharmacy computer system 14 and to each other through a network 16.
  • the pharmacy computer system 14 can be a preexisting pharmacy system in order to reduce costs to the hospital and to facilitate the transition to the new method of distributing medication. Hence, pharmacy personnel can enter information into the pharmacy computer system 14 without change to their prior procedure.
  • a pharmacy system designed specifically to operate in conjunction with the medication dispensers 12 may be provided.
  • the medication dispensers 12, typically located at each nursing station can retrieve information from the pharmacy computer system 14 through the network 16. In order to retrieve information from different pharmacy computer systems 14, an interface to the specific pharmacy system is provided.
  • FIG. 2 A perspective view of a medication dispenser 12 is shown in FIG. 2.
  • the outer housing 18 of the medication dispenser 12 includes two openings, stat opening 20 and a scheduled medication opening 22.
  • Miscellaneous medication drawers 24a-b are also disposed within the housing 12.
  • Return drawer 25a is provided for return of unused medications.
  • Return removal drawer 25b allows the pharmacist to remove the unused medications.
  • a video display 26, keyboard 28 and printer 30 are available at the front of the housing 18 for access by nursing and pharmacy personnel. Access to the carousel (described hereinbelow) of the medication dispenser 12 is provided through access door 32.
  • FIG. 3 A block diagram of one of the medication dispensers 12 is shown in FIG. 3.
  • the medication dispenser 12 comprises a system controller 34 coupled to control electronics 36.
  • Control electronics 36 are coupled to a medication packaging subsystem 38, a robotics subsystem 40, a carousel subsystem 42 and a vision subsystem 44.
  • each medication dispenser 12 stores a plurality of medications in specialized containers, described in greater detail hereinbelow.
  • Each container is operable to hold a plurality of medication units.
  • typically 200 containers are available in each medication dispenser 12.
  • the containers are prepared by the hospital pharmacy or by the pharmaceutical supplier and are labelled with a standard (human-readable) label and a machine-readable label containing all information required to meet industry requirements and for operation of the medication dispenser 12.
  • the containers are loaded into the medication dispenser 12 by the pharmacist or other pharmacy personnel through the access door 32.
  • the access door 32 is normally locked and can only be opened by designated personnel.
  • the access door 32 provides the pharmacy personnel with access to a small portion of the locations in the carousel subsystem 42 which hold the containers. After the pharmacy personnel load the medication modules through the access door 32 into the available positions in the carousel subsystem 42, the robotics subsystem 40 and carousel subsystem 42 reposition the containers to different locations on the carousel subsystem 42 so that the input locations available through the access door 32 will be available to receive additional medication containers. When a container has dispensed all of its medication units, the robotics subsystem 40 moves the empty container to a location accessible through the access window 32, so that the container can be removed and refilled.
  • each container in conjunction with the robotics subsystem 40, is operable to dispense a single medication unit.
  • the dispensing process is initiated by a nurse who enters commands through the system controller 34 to retrieve medication for one or more patients.
  • the information concerning the patients'medication requirements is stored on the pharmacy system 14 which is accessible to the medication dispenser 12 through the network 16.
  • the system controller 34 performs the network functions for the medication dispenser 12. Once the nurse orders all or part of the authorized medication for each of the nurse's patients for a given medication round, the medication dispenser 12 retrieves each medication from its respective container and dispenses the medication to the medication packaging subsystem 38 where each individual medication unit is individually packaged.
  • the medication packages for a given patient are labelled with information including the patient's name, room number, doctor's name and other data as required.
  • the packages for each patient are connected as a strip, although they could be packaged as a set of separate packages.
  • Each individual package is labelled with the medication and dose size. As individual medication is dispensed, the system controller 34 records the information.
  • the nurse In order to access the dispenser 12, the nurse must enter identification, such as an employee number and a secret password. The computer then allows the nurse to access information or order medication. The nurse will normally order medication for a complete round; however, in some cases, the nurse may order medication for less than all of the patients, and also may order less than an entire set of medication.
  • identification such as an employee number and a secret password.
  • the computer then allows the nurse to access information or order medication.
  • the nurse will normally order medication for a complete round; however, in some cases, the nurse may order medication for less than all of the patients, and also may order less than an entire set of medication.
  • Medication which is not easily dispensed through the medication dispenser may be contained in the miscellaneous drawer 24. If such a medication is ordered, the drawer, which is normally locked, is released by the dispenser 12 to allow the nurse to access the medication.
  • the system controller contains processing circuitry 46, such as an IBM-compatible computer motherboard, coupled to the display 26, such as a LCD display, via a graphics board 50, such as a VGA board.
  • processing circuitry 46 such as an IBM-compatible computer motherboard
  • the system controller 34 is coupled to a hard disk 52 and a floppy disk 54.
  • the nurse and pharmacy personnel enter data to the processor 46 through keyboard 28, which is connected to keyboard port 56.
  • the processor 46 outputs information, such as medication administration reports, through a printer 30. Communication between the processor 46 and the network 16 is performed through network interface 60.
  • the system controller 46 couples to control electronics 36 through a control electronics bus.
  • the control electronics bus is shown as an I 2 C bus 64 coupled to the control electronics 36 via RS232-to-I 2 C interface 62. Other bus types could also be used.
  • the system controller 34 acts as the interface between the medication dispenser 12 and the operators, such as nurses and pharmacy personnel. Responsive to an operator input, the system controller retrieves information through the network 16 regarding patient medication records and sends information to the control electronics 36. Responsive to the information from the system controller 34, the control electronics interfaces with the various subsystems 38-44 to dispense the requested medications.
  • the system controller 34 also communicates accounting information so that the patients are accurately billed. As medications are dispensed, the information on the quantity and type of medication dispensed for each patient is communicated to the pharmacy system (or other accounting system). Also, the information regarding the time of dispensing and the type and quantity of medication dispensed can be used to ensure that the medication was properly administered.
  • the system controller 34 also acts as a terminal to the pharmacy system.
  • each dispenser 12 can be used to output various reports, such as MARs, from information stored in the pharmacy system. Consequently, additional terminals connected to the pharmacy system at the nursing stations are unnecessary.
  • the system controller 34 can also be used to output reports specific to the dispenser 12, such as a list of the inventory in the dispenser.
  • FIG. 5 illustrates a block diagram of the control electronics 36.
  • the control electronics comprises a processor board 66 coupled to a hard disk 68, a VGA board 70, an RS232-to-I 2 C interface 72, keyboard 74, device interface 76, parallel interface 78, and frame grabber 80.
  • the graphics interface 70 may be coupled to a display 82 and keyboard for test purposes.
  • the RS232/I 2 C interface 72 is coupled to an I 2 C bus 84 which connects the control electronics 36 to the system controller 34 and to the robotics, medication packaging, and carousel subsystems 38-42.
  • the device interface 76 couples the processor board 66 to external devices, such as additional cabinets.
  • the frame grabber 80 receives image data from the vision subsystem 44.
  • control electronics provides robotics control calculations and movement scheduling for the packaging subsystem 38, the robotics subsystem 40 and the carousel subsystem 42.
  • the processor 66 in conjunction with the frame grabber 80, reads labels from the containers and performs medication singulation (described in greater detail in connection with FIGS. lla-f below).
  • the control electronics 36 maintains a database of information concerning the contents of the dispenser. In response to a request, the control electronics 36 determines whether all requested medications are available. If not, the requesting person is notified. In the preferred embodiment, the pharmacy personnel, upon entering medication order data into the pharmacy system, will be notified if a medication is not present in the dispenser associated with the patient's location in the hospital, so that the medication can be taken to that location.
  • the database maintained in the control electronics 36 also tracks the location of each medication in the carousel subsystem 42 for retrieval by the robotics subsystem 40. As medication is dispensed, the database is updated to reflect the remaining number of the medication units in the container.
  • FIGS. 6a-b illustrate top and front views of the robotics subsystem 40, carousel subsystem 42 and vision subsystem 44.
  • the robotics subsystem 40, carousel subsystem 42 and vision subsystem 44 interact to dispense a single medication unit from a selected container to the medication package subsystem 38.
  • the carousel subsystem 42 comprises a rotating column 86 onto which a plurality of receptacles 88 are disposed. Each receptacle is operable to hold a container 90.
  • Different types of containers for holding various medication units are described in greater detail in connection with FIGS. 8-9 and 12-23.
  • the column 86 is rotated by a motor 92 which is controlled by the control electronics 36.
  • the control electronics is operable to position the column 86 such that a row of containers 90 is accessible to the robotics subsystem 40.
  • the control electronics 36 maintains a database of which medication is in each of the receptacles. Hence, for a given medication, the control electronics can control the motor 92 to rotate the column 86 to the proper position for retrieval of the desired medication by the robotics subsystem 40.
  • the robotics subsystem 40 provides for manipulation of the containers 90 to prepare a single medication unit for dispensing and for dispensing the medication unit to the packaging subsystem 38.
  • a base plate 94 using radial bearings is slideably engaged within a vertical track 96.
  • the base plate 94 is connected to belt 98 which is a continuous belt wrapped around bearings 100a-b.
  • Bearing 100b is driven by motor 102 to rotate belt 98 and, hence, vertically position base plate 94 along a vertical axis 95.
  • Motor 102 is controlled by the control electronics 36.
  • Base plate 94 is coupled to extend arm 104.
  • Extend arm 104 extends and retracts along an extend axis 106 responsive to a pneumatic cylinder (not shown).
  • Extend arm 104 is shown in an extended position at 108 and in a retracted position (in phantom) at 110.
  • the pneumatic cylinder positions the extend arm 104 in either the extended or retracted position, but is not continuously variable in between.
  • an extend arm 104 could be provided to have variable positions along the extend axis 106.
  • the extend arm 104 is coupled to an end effector 112.
  • the end effector 112 is operable to rotate about a pitch axis 114 and to rotate about a roll axis 115 (see FIGS. 7a-b).
  • the pitch of the end effector 112 is controlled by pitch motor 116.
  • Rotation of the end effector 112 is controlled by roll motor 117.
  • the pitch motor 116 and roll motor 117 are controlled by the control electronics 36.
  • the vertical track 96 and all components attached thereto may be rotated about the vertical axis 95 by the control electronics 36. Rotation around the vertical axis is referred to as "yaw.”
  • control of the yaw is restricted to positioning the extend arm 104 between first yaw position shown at 120 and second yaw position shown at 122 (see FIG. 6a).
  • first yaw position 120 the robotics subsystem 40 is operable to remove and replace containers 90 in the carousel 86.
  • the robotics subsystem 40 is operable to dispense medication to the packaging subsystem 38.
  • the vision subsystem 44 comprises two optics systems, singulation optics 124 and a container identification optics 126.
  • the container identification optics 126 may comprise, for example, a bar code or a block code scanner.
  • the container identification optics 126 reads a label disposed on the outside of each container which identifies its contents.
  • the contents (as defined by the label) of a chosen container is compared with the specified medication in order to verify that the correct medication is being dispensed.
  • the container identification optics in conjunction with the control electronics, also determines whether the medication in the module has reached its expiration date.
  • the singulation optics 124 in conjunction with the control electronics 36, ensures that a single oral medication is staged to be dispensed from the container. A more detailed description of the staging operation and the singulation optics 124 is described in connection with FIGS. 8-12.
  • FIGS. 8-9 illustrate a container 130 used to dispense single units of bulk medication, such as pills, tablets and the like.
  • This container is the subject matter of U.S. Pat. No. 5,213,232, to Kraft et al., issued May 25, 1993, and assigned to the assignee-of-interest, which is incorporated by reference herein.
  • the bulk medication container 130 comprises a container portion 132 for containing a plurality of pills 134 in bulk form. Inside the container portion 132, there is a helical ridge 136 which acts as a ramp for the pills.
  • Interface 138 couples the container to the receptacles 88 of the carousel subsystem 42.
  • Interface 140 interfaces the container 130 with the robotics subsystem.
  • a cap 142 is used to seal the container 130 while the pills 134 are stored outside the dispenser 12; to load the container 130 into the dispenser 12, the cap 142 is removed and the interface 138 is attached to a receptacle 88.
  • a label 144 is adhered to the exterior of the container 130.
  • the label 144 contains information on the medication stored within container 130. This information is used for the database internal to the dispenser 12 and for verification prior to dispensing medication.
  • the label 144 can take a variety of formats, such as one of a number of bar codes or block codes.
  • FIG. 9 illustrates an exploded view of the bulk medication container 130.
  • a discharging element 146 is disposed in the open end 148 of the bulk medication container 130.
  • the discharging element 146 comprises a holding area 152 and a discharge ramp 154.
  • the discharging element 146 is removably seated within the open end 148 as shown by grooved section 150.
  • the grooved section 150 mates with the outer wall 151 of the discharge element 146.
  • the container 130 is manipulated by the robotics subsystem 40 to place (or "stage") a single medication unit in the holding area 152. While it may be possible to load a predetermined number of medication units in the holding area 152, staging a single medication unit is preferred because it allows the holding area 152 of each container to be preloaded (i.e., loaded prior to a request for the medication) with the most likely quantity to be requested.
  • each container 130 in the carousel subsystem 42 is preloaded. The preloading occurs upon loading the container into the dispenser 12 through the access door 32 and after a medication unit is dispensed to the packaging subsystem 38.
  • the containers 130 can be preloaded while there is no dispensing activity ongoing. Hence, for a given request, at least one medication unit for each medication will be preloaded into the holding area 152 of the container 130 for fast transfer to the packaging subsystem 38.
  • the container 130 is rotated at a predetermined pitch angle.
  • the pitch angle is initially set to a predetermined angle relative to the horizontal, and is adjusted during use.
  • the initial angle is determined by a number of factors, including the type of medication and the fullness of the container as loaded. While many containers are initially full, some containers may have only the number of medication units for a specific patient.
  • data on each type of medication is maintained in an internal database to provide the best estimate of an initial angle based on the quantity of units in the loaded container.
  • the container 130 is rotated 270° (or another predetermined angle) about the roll axis 115 by the roll motor 117 then is rotated 270° in the opposite direction.
  • the end effector rotates about the roll axis 115, medication units travel up the helical ridge 136 in single file.
  • the end effector 112 stops rotating when either three rotation cycles have been completed without detecting a pill in the holding area (decision block 158) or one or more pills are detected in the holding area (decision block 160). In the preferred embodiment, if three rotation cycles are completed without the detection of any pills in the holding area, the pitch angle is decreased by one degree and the rotation count is reset in 162.
  • the sequence provided by block 156, 158 and 160 is repeated.
  • the rotation of the container 130 is stopped in block 164. If more than one pill is identified in the holding area 152 in block 166, the container is rotated one full rotation in the opposite direction to return all pills from the holding area 152 to the container (block 168). Also, the pitch angle is increased by one degree and the rotation count is reset. Thereafter, the robotics subsystem continues rotation of the container at block 156.
  • the pitch angle of the container 130 is increased (block 170) in order to return any remaining pills on the helical ridge 136 to the bottom of the container, such that no pills will transfer from the helical ridge 136 to the holding area 152 during subsequent movement of the container 130.
  • an energy profile is monitored to determine whether one or more pills are in the holding area 152.
  • the energy profile is generated from the light reflected off the pills in the holding area and received by the singulation optics 124.
  • the optics may include LED's or another light emitting device to increase the amount of light.
  • the image from the singulation optics 124 is transferred to the frame grabber 80.
  • FIGS. 11a-e illustrate the profiles associated with various orientations of pills in the discharging element 146.
  • FIG. 11b the energy profile for a single round tablet (see FIG. 11a) is shown.
  • the energy profile is derived by the control electronics from the output of the singulation optics, which is captured by the frame grabber 80 as needed.
  • the control electronics 36 performs image processing on the data contents of the frame grabber 80 to derive the energy profile corresponding to the pills disposed in the discharging element 146.
  • FIGS. 11a-b a single pill and its energy profile 174 are illustrated. As can be seen, the energy profile 174 is relatively smooth.
  • FIGS. 11c-d an energy profile for pills which are side-by-side or partially overlapping is shown. Responsive to the outline of the pills in FIG. 11c, a corresponding energy profile 176 is generated. The energy profile 176 has a cusp 178 corresponding to the cusp 180 found between the two pills 134 in the discharging element 146.
  • a signal is asserted indicating that there are no pills in the discharging element 146. Assertion of this signal causes the robotics to rotate the container (until the three rotations are complete). Once one or more pills are disposed within the discharging element 146, the energy profile is no longer null in block 172 and thus, in block 184, the energy profile is analyzed to determine whether there are any cusps. If a cusp is found in decision block 186, a "multiple pill” signal is asserted by the control electronics 36. If no cusp is found, then the "single pill” signal is asserted by the control electronics 36. The “multiple pill” signal and “single pill” signal are used in decision block 166 of FIG. 10a.
  • FIG. 10c and FIGS. 11e-f illustrate a second embodiment of the present invention wherein a pill-specific profile is compared with the profile generated by the singulation optics 124 and the control electronics 36 to determine whether more than one pill is loaded in the holding area 152.
  • the singulation method shown in FIG. 10b and FIGS. 11a-d is pill-independent, i.e., it can be used without any information regarding the type of pills being singulated
  • the method shown in FIGS. 10c and 11e-f use pill-specific information to improve the quality of the singulation process.
  • This embodiment is useful for use with odd-shaped pills, such as the bow-tie shaped pill 134 shown in FIG. 11e, which would produce an energy profile 190 shown in FIG. 11f.
  • Such a profile may be interpreted as having a cusp which would indicate multiple pills under the previously described embodiment, even though a single pill was in the discharging element 146.
  • pill-specific information is retrieved in block 192 of FIG. 10c which corresponds to the profile which should be obtained if a single pill is in the discharging element 146.
  • the pill-specific information may be stored in a database in the memory of the control electronics 36 or may be specified on the label 144. Information in the profile would include, for example, the height, depth, and width dimensions of the pill and shape type, such as round, capsule, oblong and bow-tie.
  • the pill-specific information is used in a three dimensional comparision with the profile determined from the image provided by the singulation optics 124 in block 196. If the energy profile matches within a given threshold in decision block 198, the "single pill" signal is asserted in block 200. If there is not a match in block 198, the "multiple pill” signal is asserted in block 202.
  • the pill-specific approach is also useful for capsules, where two or more capsules may overlap in the holding area. Because of the shape of the capsules, a cusp may not be apparent from the energy profile. However, the width dimension would be in excess of the pill-specific dimension, and would therefore cause a multiple pill signal. Further, the pill-specific approach may be useful in an embodiment where a predetermined number of pills greater than one are being detected.
  • Container 210 for holding larger objects is shown in an exploded view.
  • Container 210 is used for dispensing single regular or irregular shaped units upon rotation of the apparatus 210.
  • irregular shaped units 211 such as, for example, a syringe or ampules, located in compartments 214.
  • These compartments 214 are located in a dispensing container 215 having generally concave walls 216.
  • Compartments 214 are formed within the generally concave walls 216 having three sides 214A, 214B, 214C and one open side 214D.
  • the irregular or regular units 211 can be discharged from the compartment 214 through the open side 214D of the compartment 214 to the outside upon rotation of the compartment 214 to a position that gravity would cause the irregular or regular units 211 to fall.
  • a cylinder 217 is provided which has at least one slot 218 therein for selectively providing an opening for selective dispensing of the irregular and regular units 211; the cylinder 217 is mounted exteriorly of the dispensing container 215.
  • the dispensing container 215 and the cylinder 217 are sized, as can be seen in FIG. 12, such that they can be mounted in a nesting relationship and for free rotation therebetween. It will be apparent that when slot 218 is rotated over a compartment 214 in the dispensing container 215, that compartment 214 will be open to discharge its units 211.
  • the container 215 and cylinder 217 can be positioned such that gravity will cause the irregular or regular shaped units 211 to discharge from the compartment 214 accessed through slot 218.
  • the dispensing container 215 is comprised of compartments 214 which are arranged in a circular fashion about the axis of dispensing container 215 which has concave walls 216.
  • the top end 224 of the dispensing container 215 is closed and the bottom end 225 is also closed to provide a closure to the compartments 214 for the retention of the units 211 to be dispensed.
  • an additional septum 226 is provided mid-way along the dispensing container 215 to provide for an eight unit dispensing container 215 instead of a four unit dispensing container as shown in FIGS. 13 and 15. It would be understood by those skilled in the art, that the length of the container and the number of septums and the compartments created could be varied depending upon the size of the container and the size of the units 210 to be dispensed without departing from the scope and contents of this invention.
  • Cylinder 217 has located on its other end 229 members 230 for allowing the engagement and holding of said cylinder 217 and dispensing container 215 in the receptacles 88.
  • the robotics subsystem 40 rotates the dispensing container 215 inside said cylinder 217 for the alignment of slot 218 over a selected compartment 214.
  • the members 230 are composed of at least two pins projecting from cylinder 217 or at least two raised inclined surfaces 232 which project upward from the cylinder 217. These are designed to be engaged with the receptacle 88.
  • the exterior uppermost edge of the storage means 233 has a flared portion 247 for providing an aligning function for the receiving of the apparatus 210 as it is moved in place by mechanical means.
  • a foam core 250 may be used in the receptacle to give a more firm and secure closure by drawing the apparatus 210 into the foam core 250.
  • the raised inclined surfaces 232 on cylinder 217 are functionally related in at least one case to at least two pins 235 which project from the storage member 233.
  • the raised inclined surfaces 232 are designed to be in sliding relationship with the at least two pins 235 as the cylinder 217 and dispensing container 215 are placed in proximity to the at least two pins 235 of the storage means 233.
  • the cylinder 217 and dispensing container 215 are rotated while locked in the unit nesting configuration, the two pins 235 travel along the incline surfaces 232A until they reach the two relatively flat surfaces 232B at the upwardmost point of the inclined surface 232A for locking the apparatus 210 in a fixed position.
  • Two stopping members 236 proximate the two relatively flat surfaces 232B for a final resting position for the storage and/or indexing of units from the apparatus 210.
  • a wheel member 237 is provided and is connected to a shaft 238 which is, in turn, connected to the dispensing container 215 by passing the shaft 238 and spacer 238A through the aperture 229 in the end 227 of the cylinder 217.
  • the end effector 112 can securely mate to pins 237A, using channels 241 (and colinear channel 240 through the dispensing container 215) to guide a pin (not shown) on the end effector 112 to aid in coupling the end effector to the wheel member 237.
  • the resilient member 223 located about the shaft 238 and between the wheel member 237 and the end 227 of the lower portion 220 of the cylinder 217 is the resilient member 223.
  • the wheel member 237 has at least two projections 237A therefrom for interfacing with the end effector 112 of the robotics subsystem 40.
  • FIGS. 24-26 illustrate the medication packaging subsystem 38.
  • the packaging subsystem comprises a printing module 300, a bulk material reel 302 and a opener/sealer 304.
  • the bulk material reel 302 comprises a reel for dispensing a strip of packaging material, which is shown in greater detail in connection with FIGS. 25a-b.
  • the packaging material 306 comprises a continuous strip of two-ply package material sealed on edges 308a-b. Pockets 314 of material are created by seals 310. Just below each seal 310, a perforation 312 is formed such that each pocket 314 can be easily separated from the strip. On one side of the two-ply material, the perforation is pre-opened such that the pocket 314 is accessible.
  • This material can be purchased from a variety of manufacturers in the form described, i.e., having pre-sealed pockets 314 wherein one side of the material has a perforation 312 and the other side of the material has a slit 316 to allow access to the interior of the pocket 314.
  • the packaging material 306 is pulled through roll-drives 318 to the printhead 320.
  • Printheads for printing directly to a plastic material are available from a number of sources.
  • the output from the printhead 320 is directed to cutter 322.
  • the cutter 322 separates strips of packages for different patients.
  • the packaging material is directed through roll-drive 328 where a pocket 314 is disposed between first and second vacuum arms 330 and 332.
  • Vacuum arm 330 is rotatable under control of the control electronics 36. Prior to dispensing medication from a container 90, a vacuum is applied to vacuum arms 330 and 332 through holes 333, such that the plastic material 306 is temporarily adhered to the vacuum arms. Vacuum arm 330 is rotated outward such that an opening 334 is created at the top of pocket 314 to provide the maximum clearance for the medication to be dispensed.
  • the container 90 is rotated to drop the medication unit into the opening.
  • a "light curtain” is directed across the width of the pocket 314 by light source 306.
  • the light curtain travels through slits 338a-b formed in vacuum arms 330 and 332, respectively, and the light produced thereby is detected by a detector 340.
  • the detector 340 outputs a signal indicating whether the curtain of light is broken, thereby indicating whether the pill from the container 130 (or other medication unit from container 210) has landed in the package.
  • the package is driven down its path by roller drive 342 and the opening 334 is closed and sealed.
  • the packaging material 306 which is perforated and slit, as shown in FIG. 25a, the mechanics of the packaging subsystem can be reduced.
  • the packaging material is sealed by the packaging subsystem 38 to begin a package, and slit to receive a medication unit. After the medication unit is placed in the pocket formed by the seal and the sides of the packaging material, another seal is formed to encapsulate the medication unit. The package can then be perforated by the packaging subsystem.
  • both bulk medication containers 130 and module containers 210 can be used to drop units directly into the package 314. Since the medication drops directly through the opening 334 into the pocket 314, there is no cross-contamination, i.e., medication units do not touch a surface which has been touched by a medication unit of another type. Cross-contamination is a particular problem in systems which require a funnel or ramp to guide medication into the package, since the funnel or ramp will become contaminated by each pill with which it comes in contact.
  • FIGS. 27a-c illustrate a gating mechanism for directing the passage between packages of medication and the exterior of the dispenser 12. All output from the packaging subsystem 38 is directed down chute 350.
  • a gate 352 directs such packages to a stat area 354 if the nurse has requested the package to be delivered stat, i.e., while the nurse waits.
  • Gate 352 closes and gate 355 opens to direct packages to a scheduled medication drawer 356 (see FIG. 27b).
  • the scheduled medication drawer is the default path for the package to take.
  • the nurse may perform other duties while the package (or packages for a number of patients) are being prepared and the nurse can return to remove the packages from the scheduled medication drawer 356 when the packages are finished.
  • the scheduled medication drawer can only be opened upon proper authority.
  • FIG. 27c illustrates the path to the waste access drawer where both gate 352 and gate 355 are closed.
  • the waste access drawer is for surplus packaging material which results from the packaging process and return of unused medications.
  • the present invention provides a number of advantages over the prior art.
  • the system can be used with existing pharmacy software such that patient orders can be entered using existing procedures.
  • medications can be transferred from the pharmacy to the various dispensers in bulk containers, which greatly reduces the time involved in preparing medication orders.
  • the system provides security against unauthorized personnel gaining access to hospital medical supplies.
  • the dispensers can account for each medication removed.
  • the dispensers only allow removal of medication which has been authorized by a physician and entered into the pharmacy database.
  • each patient's package is labelled with the patient's demographic information and with information pertaining to the medication in the package to reduce administration errors.
  • the medication is transferred to the package without any cross-contamination between medications.
  • the dispensers reduce human error in providing the medication for individual patients.

Abstract

A medication dispenser for use in a hospital or other medical setting comprises a plurality of containers for holding medication units, packaging apparatus for containing one or more medication units in a package and robotics for manipulating a selected container to transfer one or more medication units from the container directly to said package. Since medication is directly transferred from the container to the package, no cross-contamination occurs.

Description

TECHNICAL FIELD OF THE INVENTION
This invention relates in general to medical dispensing machines, and more particularly to a medical dispenser system to provide medications to nurses in a hospital setting.
BACKGROUND OF THE INVENTION
The efficient and accurate distribution of medication in a hospital is an extremely important facet of patient care. In a typical hospital setting, medication orders are initiated by a physician, who contacts a pharmacist in the hospital's pharmacy. In response to the physician's request, the pharmacist enters information into the hospital's pharmacy computer system, which is typically implemented on a mainframe computer. The pharmacy computer system maintains a database of information concerning each patient in the hospital and performs a number of functions necessary to enable the pharmacy to efficiently distribute medications. For example, the pharmacy computer system maintains information on each patient, such as the patient's location in the hospital, whether the patient has any allergies to medication, the diagnosis, if any, for the patient, the patient's primary physician, the patient's personal data (height, weight, age, blood type), the date of admission, and so on. Further, the pharmacy computer system maintains a database of medications which may be ordered by the physicians. This database may include, for example, the NDC code for the medication, the manufacturer, the brand name, the generic name, the dosage form, the location of the drug in the pharmacy, and pricing information. For each medication ordered for a patient, the pharmacy system maintains a database of the medication ordered, the frequency of administration, start and stop dates (and times) for administration, and the nursing station to which the medication should be delivered. Pharmacy computer systems have been widely available since at least 1985. Their availability has greatly increased the accuracy and efficiency of the hospital pharmacy.
Based on the information in the pharmacy computer system, the pharmacy prepares the medications for each patient. Carts containing the medications are brought to the nursing stations, where the nurse retrieves the medication for his or her patients and then administers the medication. Typically, a separate container holding the medications for each patient are provided on the cart. To aid the nurses, a medication administration report (MAR) is provided from the pharmacy computer system, so that the nurse can verify that each patient has received all scheduled medication. Some common medications, such as pain relievers, are kept at the nursing stations for retrieval by the nurses.
This approach has significant problems. First, it is very time consuming and subject to human error. Second, it offers a very low level of security. Third, it has no means of accurately accounting for medication taken by the nurses, or other medical staff, from the nursing stations.
Some systems have been designed to increase security somewhat by providing a number of drawers, each containing several medications, which may only be opened after an authorization process. However, these systems can hold relatively few medications and cannot provide accurate accounting of the number of medications withdrawn from a drawer. Therefore, they provide little additional benefit.
Therefore, a need has arisen in the industry for a medication distribution system which reduces the time spent by pharmacy personnel and nursing staffs, with increased accuracy and accountability.
SUMMARY OF THE INVENTION
The medication dispenser of the present invention comprises a plurality of containers for holding medication units, packaging apparatus for containing one or more medication units in a package and robotics for manipulating a selected container to transfer one or more medication units from the container directly to said package.
This aspect of the present invention provides significant advantages over the prior art. Since medication is directly transferred from the container to the package, no cross-contamination occurs as part of the dispensing process. By placing dispensers around the hospital, the labor involved in providing medication to nurses is greatly reduced, and the accuracy in billing patients and maintaining the inventory of medications is greatly increased.
In one aspect of the present invention, a plurality of such dispensers are networked together and connected to a common database of patient information, typically a pharmacy software system. Medications are automatically dispensed responsive to a user request in accordance with the information in the database. The dispensers can communicate data for accounting and billing purposes, to the pharmacy system or to another system.
This aspect of the invention allows interfacing the dispensers with a pre-existing pharmacy system, which reduces costs for the hospital in equipment and training.
In another aspect of the present invention, one or more of the containers in the dispenser are operable to preload a predetermined number of medication units, typically a single medication unit, in a holding area until the medication units are requested. After the medication units are transferred to the packaging system responsive to a user request, new medication units are preloaded to the holding area in anticipation for the next request.
This aspect of the invention increases the speed with which medication units may be dispensed from the dispenser.
In another aspect of the present invention, various containers for storing bulk medication, such as pills, and for storing irregular shaped medications, such as syringes, ampules and vials, are provided.
This aspect of the invention increases the number of medications which can be automatically dispensed. PG,7
BRIEF DESCRIPTION OF THE DRAWINGS
For a more complete understanding of the present invention, and the advantages thereof, reference is now made to the following descriptions taken in conjunction with the accompanying drawings, in which:
FIG. 1 illustrates a block diagram of a medication dispensing system;
FIG. 2 illustrates a perspective view of a medication dispenser used in the medication dispensing system of FIG. 1;
FIG. 3 illustrates a block diagram of the medication dispenser;
FIG. 4 illustrates a block diagram of a system controller used in the medication dispenser;
FIG. 5 illustrates a block diagram of the control electronics used in the medication dispenser;
FIGS. 6a-b illustrate top and front views, respectively, of the carousel and robotics subsystems;
FIGS. 7a-b illustrate side and front views of the extend arm and end effector in use with a medication container;
FIGS. 8-9 illustrate perspective and exploded views of a bulk medication container;
FIGS. 10a-c illustrate flow charts describing operation of the robotics and vision subsystems to dispense a single pill from the bulk medication dispenser of FIGS. 8 and 9;
FIGS. 11a-f illustrate pill configurations and respective energy profiles used in the vision subsystem singulation process;
FIG. 12 illustrates an exploded view of a module container used in the medication dispenser;
FIGS. 13 and 14 illustrate perspective views of different embodiments of the module container;
FIGS. 15 and 16 illustrate cross-sectional side views of different embodiments of the module container;
FIGS. 17 and 18 illustrate cross-sectional back views of the module container;
FIG. 19 illustrates a detailed cross-sectional side view of the module container in a state for independent rotation of the cylinder and dispensing container portions;
FIGS. 20 and 21 illustrate front and cross-sectional side views of the carousel receptacle;
FIGS. 22 and 23 illustrate a preferred embodiment for mounting a container to the receptacle;
FIG. 24 illustrates a front view of the packaging subsystem;
FIGS. 25a-b illustrate the preferred embodiment of the packaging material used in the packaging subsystem of FIG. 24;
FIGS. 26a-b illustrate side and front views, relative to the container, illustrating the dispensing of a medication unit into the packaging subsystem; and
FIGS. 27a-c illustrate the gating for dispensing medication packages.
DETAILED DESCRIPTION OF THE INVENTION
The preferred embodiment of the present invention and its advantages are best understood by referring to FIGS. 1-27 of the drawings, like numerals being used for like and corresponding parts of the various drawings.
FIG. 1 illustrates a block diagram of the overall medication dispensing system 10. The system 10 comprises a plurality of medication dispensers 12 coupled to a pharmacy computer system 14 and to each other through a network 16. In the preferred embodiment, the pharmacy computer system 14 can be a preexisting pharmacy system in order to reduce costs to the hospital and to facilitate the transition to the new method of distributing medication. Hence, pharmacy personnel can enter information into the pharmacy computer system 14 without change to their prior procedure. Alternatively, a pharmacy system designed specifically to operate in conjunction with the medication dispensers 12 may be provided. The medication dispensers 12, typically located at each nursing station, can retrieve information from the pharmacy computer system 14 through the network 16. In order to retrieve information from different pharmacy computer systems 14, an interface to the specific pharmacy system is provided.
A perspective view of a medication dispenser 12 is shown in FIG. 2. The outer housing 18 of the medication dispenser 12 includes two openings, stat opening 20 and a scheduled medication opening 22. Miscellaneous medication drawers 24a-b are also disposed within the housing 12. Return drawer 25a is provided for return of unused medications. Return removal drawer 25b allows the pharmacist to remove the unused medications. A video display 26, keyboard 28 and printer 30 are available at the front of the housing 18 for access by nursing and pharmacy personnel. Access to the carousel (described hereinbelow) of the medication dispenser 12 is provided through access door 32.
A block diagram of one of the medication dispensers 12 is shown in FIG. 3. The medication dispenser 12 comprises a system controller 34 coupled to control electronics 36. Control electronics 36 are coupled to a medication packaging subsystem 38, a robotics subsystem 40, a carousel subsystem 42 and a vision subsystem 44.
In operation, each medication dispenser 12 stores a plurality of medications in specialized containers, described in greater detail hereinbelow. Each container is operable to hold a plurality of medication units. In the preferred embodiment, typically 200 containers are available in each medication dispenser 12. The containers are prepared by the hospital pharmacy or by the pharmaceutical supplier and are labelled with a standard (human-readable) label and a machine-readable label containing all information required to meet industry requirements and for operation of the medication dispenser 12. The containers are loaded into the medication dispenser 12 by the pharmacist or other pharmacy personnel through the access door 32. The access door 32 is normally locked and can only be opened by designated personnel.
The access door 32 provides the pharmacy personnel with access to a small portion of the locations in the carousel subsystem 42 which hold the containers. After the pharmacy personnel load the medication modules through the access door 32 into the available positions in the carousel subsystem 42, the robotics subsystem 40 and carousel subsystem 42 reposition the containers to different locations on the carousel subsystem 42 so that the input locations available through the access door 32 will be available to receive additional medication containers. When a container has dispensed all of its medication units, the robotics subsystem 40 moves the empty container to a location accessible through the access window 32, so that the container can be removed and refilled.
As described in greater detail below, each container, in conjunction with the robotics subsystem 40, is operable to dispense a single medication unit. The dispensing process is initiated by a nurse who enters commands through the system controller 34 to retrieve medication for one or more patients. The information concerning the patients'medication requirements is stored on the pharmacy system 14 which is accessible to the medication dispenser 12 through the network 16. The system controller 34 performs the network functions for the medication dispenser 12. Once the nurse orders all or part of the authorized medication for each of the nurse's patients for a given medication round, the medication dispenser 12 retrieves each medication from its respective container and dispenses the medication to the medication packaging subsystem 38 where each individual medication unit is individually packaged. The medication packages for a given patient are labelled with information including the patient's name, room number, doctor's name and other data as required. In the preferred embodiment, the packages for each patient are connected as a strip, although they could be packaged as a set of separate packages. Each individual package is labelled with the medication and dose size. As individual medication is dispensed, the system controller 34 records the information.
In order to access the dispenser 12, the nurse must enter identification, such as an employee number and a secret password. The computer then allows the nurse to access information or order medication. The nurse will normally order medication for a complete round; however, in some cases, the nurse may order medication for less than all of the patients, and also may order less than an entire set of medication.
Medication which is not easily dispensed through the medication dispenser may be contained in the miscellaneous drawer 24. If such a medication is ordered, the drawer, which is normally locked, is released by the dispenser 12 to allow the nurse to access the medication.
A preferred embodiment of the system controller is shown in FIG. 4. The system controller contains processing circuitry 46, such as an IBM-compatible computer motherboard, coupled to the display 26, such as a LCD display, via a graphics board 50, such as a VGA board. For mass storage, the system controller 34 is coupled to a hard disk 52 and a floppy disk 54. The nurse and pharmacy personnel enter data to the processor 46 through keyboard 28, which is connected to keyboard port 56. The processor 46 outputs information, such as medication administration reports, through a printer 30. Communication between the processor 46 and the network 16 is performed through network interface 60. The system controller 46 couples to control electronics 36 through a control electronics bus. In the illustrated embodiment, the control electronics bus is shown as an I2 C bus 64 coupled to the control electronics 36 via RS232-to-I2 C interface 62. Other bus types could also be used.
In operation, the system controller 34 acts as the interface between the medication dispenser 12 and the operators, such as nurses and pharmacy personnel. Responsive to an operator input, the system controller retrieves information through the network 16 regarding patient medication records and sends information to the control electronics 36. Responsive to the information from the system controller 34, the control electronics interfaces with the various subsystems 38-44 to dispense the requested medications.
The system controller 34 also communicates accounting information so that the patients are accurately billed. As medications are dispensed, the information on the quantity and type of medication dispensed for each patient is communicated to the pharmacy system (or other accounting system). Also, the information regarding the time of dispensing and the type and quantity of medication dispensed can be used to ensure that the medication was properly administered.
In the preferred embodiment, the system controller 34 also acts as a terminal to the pharmacy system. Hence, each dispenser 12 can be used to output various reports, such as MARs, from information stored in the pharmacy system. Consequently, additional terminals connected to the pharmacy system at the nursing stations are unnecessary.
The system controller 34 can also be used to output reports specific to the dispenser 12, such as a list of the inventory in the dispenser.
FIG. 5 illustrates a block diagram of the control electronics 36. The control electronics comprises a processor board 66 coupled to a hard disk 68, a VGA board 70, an RS232-to-I2 C interface 72, keyboard 74, device interface 76, parallel interface 78, and frame grabber 80. The graphics interface 70 may be coupled to a display 82 and keyboard for test purposes. The RS232/I2 C interface 72 is coupled to an I2 C bus 84 which connects the control electronics 36 to the system controller 34 and to the robotics, medication packaging, and carousel subsystems 38-42. The device interface 76 couples the processor board 66 to external devices, such as additional cabinets. The frame grabber 80 receives image data from the vision subsystem 44.
In operation, the control electronics provides robotics control calculations and movement scheduling for the packaging subsystem 38, the robotics subsystem 40 and the carousel subsystem 42. The processor 66, in conjunction with the frame grabber 80, reads labels from the containers and performs medication singulation (described in greater detail in connection with FIGS. lla-f below).
The control electronics 36 maintains a database of information concerning the contents of the dispenser. In response to a request, the control electronics 36 determines whether all requested medications are available. If not, the requesting person is notified. In the preferred embodiment, the pharmacy personnel, upon entering medication order data into the pharmacy system, will be notified if a medication is not present in the dispenser associated with the patient's location in the hospital, so that the medication can be taken to that location.
The database maintained in the control electronics 36 also tracks the location of each medication in the carousel subsystem 42 for retrieval by the robotics subsystem 40. As medication is dispensed, the database is updated to reflect the remaining number of the medication units in the container.
FIGS. 6a-b illustrate top and front views of the robotics subsystem 40, carousel subsystem 42 and vision subsystem 44. The robotics subsystem 40, carousel subsystem 42 and vision subsystem 44 interact to dispense a single medication unit from a selected container to the medication package subsystem 38. The carousel subsystem 42 comprises a rotating column 86 onto which a plurality of receptacles 88 are disposed. Each receptacle is operable to hold a container 90. Different types of containers for holding various medication units are described in greater detail in connection with FIGS. 8-9 and 12-23.
The column 86 is rotated by a motor 92 which is controlled by the control electronics 36. The control electronics is operable to position the column 86 such that a row of containers 90 is accessible to the robotics subsystem 40. The control electronics 36 maintains a database of which medication is in each of the receptacles. Hence, for a given medication, the control electronics can control the motor 92 to rotate the column 86 to the proper position for retrieval of the desired medication by the robotics subsystem 40.
The robotics subsystem 40 provides for manipulation of the containers 90 to prepare a single medication unit for dispensing and for dispensing the medication unit to the packaging subsystem 38. A base plate 94 using radial bearings is slideably engaged within a vertical track 96. The base plate 94 is connected to belt 98 which is a continuous belt wrapped around bearings 100a-b. Bearing 100b is driven by motor 102 to rotate belt 98 and, hence, vertically position base plate 94 along a vertical axis 95. Motor 102 is controlled by the control electronics 36.
Base plate 94 is coupled to extend arm 104. Extend arm 104 extends and retracts along an extend axis 106 responsive to a pneumatic cylinder (not shown). Extend arm 104 is shown in an extended position at 108 and in a retracted position (in phantom) at 110. In the preferred embodiment, the pneumatic cylinder positions the extend arm 104 in either the extended or retracted position, but is not continuously variable in between. However, using electromechanical technology, an extend arm 104 could be provided to have variable positions along the extend axis 106.
The extend arm 104 is coupled to an end effector 112. The end effector 112 is operable to rotate about a pitch axis 114 and to rotate about a roll axis 115 (see FIGS. 7a-b). The pitch of the end effector 112 is controlled by pitch motor 116. Rotation of the end effector 112 is controlled by roll motor 117. The pitch motor 116 and roll motor 117 are controlled by the control electronics 36.
The vertical track 96 and all components attached thereto may be rotated about the vertical axis 95 by the control electronics 36. Rotation around the vertical axis is referred to as "yaw." In the preferred embodiment, control of the yaw is restricted to positioning the extend arm 104 between first yaw position shown at 120 and second yaw position shown at 122 (see FIG. 6a). At first yaw position 120, the robotics subsystem 40 is operable to remove and replace containers 90 in the carousel 86. At second yaw position 122, the robotics subsystem 40 is operable to dispense medication to the packaging subsystem 38.
The vision subsystem 44 comprises two optics systems, singulation optics 124 and a container identification optics 126. The container identification optics 126 may comprise, for example, a bar code or a block code scanner. The container identification optics 126 reads a label disposed on the outside of each container which identifies its contents. The contents (as defined by the label) of a chosen container is compared with the specified medication in order to verify that the correct medication is being dispensed. The container identification optics, in conjunction with the control electronics, also determines whether the medication in the module has reached its expiration date.
The singulation optics 124, in conjunction with the control electronics 36, ensures that a single oral medication is staged to be dispensed from the container. A more detailed description of the staging operation and the singulation optics 124 is described in connection with FIGS. 8-12.
FIGS. 8-9 illustrate a container 130 used to dispense single units of bulk medication, such as pills, tablets and the like. This container is the subject matter of U.S. Pat. No. 5,213,232, to Kraft et al., issued May 25, 1993, and assigned to the assignee-of-interest, which is incorporated by reference herein. The bulk medication container 130 comprises a container portion 132 for containing a plurality of pills 134 in bulk form. Inside the container portion 132, there is a helical ridge 136 which acts as a ramp for the pills. Interface 138 couples the container to the receptacles 88 of the carousel subsystem 42. Interface 140 interfaces the container 130 with the robotics subsystem. A cap 142 is used to seal the container 130 while the pills 134 are stored outside the dispenser 12; to load the container 130 into the dispenser 12, the cap 142 is removed and the interface 138 is attached to a receptacle 88. A label 144 is adhered to the exterior of the container 130. The label 144 contains information on the medication stored within container 130. This information is used for the database internal to the dispenser 12 and for verification prior to dispensing medication. The label 144 can take a variety of formats, such as one of a number of bar codes or block codes.
FIG. 9 illustrates an exploded view of the bulk medication container 130. As can be seen, a discharging element 146 is disposed in the open end 148 of the bulk medication container 130. The discharging element 146 comprises a holding area 152 and a discharge ramp 154. In the preferred embodiment, the discharging element 146 is removably seated within the open end 148 as shown by grooved section 150. The grooved section 150 mates with the outer wall 151 of the discharge element 146.
In operation, the container 130 is manipulated by the robotics subsystem 40 to place (or "stage") a single medication unit in the holding area 152. While it may be possible to load a predetermined number of medication units in the holding area 152, staging a single medication unit is preferred because it allows the holding area 152 of each container to be preloaded (i.e., loaded prior to a request for the medication) with the most likely quantity to be requested. In the preferred embodiment, each container 130 in the carousel subsystem 42 is preloaded. The preloading occurs upon loading the container into the dispenser 12 through the access door 32 and after a medication unit is dispensed to the packaging subsystem 38. For efficient operation, the containers 130 can be preloaded while there is no dispensing activity ongoing. Hence, for a given request, at least one medication unit for each medication will be preloaded into the holding area 152 of the container 130 for fast transfer to the packaging subsystem 38.
To place a single medication unit in the holding area 152, the sequence shown in flow chart of FIG. 10 is implemented. In block 156, the container 130 is rotated at a predetermined pitch angle. In the illustrated embodiment, the pitch angle is initially set to a predetermined angle relative to the horizontal, and is adjusted during use. The initial angle is determined by a number of factors, including the type of medication and the fullness of the container as loaded. While many containers are initially full, some containers may have only the number of medication units for a specific patient. In the preferred embodiment, data on each type of medication is maintained in an internal database to provide the best estimate of an initial angle based on the quantity of units in the loaded container.
To load a pill (or other medication unit) into the holding area, the container 130 is rotated 270° (or another predetermined angle) about the roll axis 115 by the roll motor 117 then is rotated 270° in the opposite direction. When the end effector rotates about the roll axis 115, medication units travel up the helical ridge 136 in single file. The end effector 112 stops rotating when either three rotation cycles have been completed without detecting a pill in the holding area (decision block 158) or one or more pills are detected in the holding area (decision block 160). In the preferred embodiment, if three rotation cycles are completed without the detection of any pills in the holding area, the pitch angle is decreased by one degree and the rotation count is reset in 162. Thereafter, the sequence provided by block 156, 158 and 160 is repeated. When one or more pills are detected in the holding area (block 160), the rotation of the container 130 is stopped in block 164. If more than one pill is identified in the holding area 152 in block 166, the container is rotated one full rotation in the opposite direction to return all pills from the holding area 152 to the container (block 168). Also, the pitch angle is increased by one degree and the rotation count is reset. Thereafter, the robotics subsystem continues rotation of the container at block 156. If a single pill is identified in the holding area in block 166, the pitch angle of the container 130 is increased (block 170) in order to return any remaining pills on the helical ridge 136 to the bottom of the container, such that no pills will transfer from the helical ridge 136 to the holding area 152 during subsequent movement of the container 130.
In FIG. 10b, the detection of medication units in the holding area 152 is described in greater detail. In decision block 172, an energy profile is monitored to determine whether one or more pills are in the holding area 152. The energy profile is generated from the light reflected off the pills in the holding area and received by the singulation optics 124. To enhance the energy profile, the optics may include LED's or another light emitting device to increase the amount of light. The image from the singulation optics 124 is transferred to the frame grabber 80.
FIGS. 11a-e illustrate the profiles associated with various orientations of pills in the discharging element 146. In FIG. 11b, the energy profile for a single round tablet (see FIG. 11a) is shown. The energy profile is derived by the control electronics from the output of the singulation optics, which is captured by the frame grabber 80 as needed. The control electronics 36 performs image processing on the data contents of the frame grabber 80 to derive the energy profile corresponding to the pills disposed in the discharging element 146.
In FIGS. 11a-b, a single pill and its energy profile 174 are illustrated. As can be seen, the energy profile 174 is relatively smooth. In FIGS. 11c-d, an energy profile for pills which are side-by-side or partially overlapping is shown. Responsive to the outline of the pills in FIG. 11c, a corresponding energy profile 176 is generated. The energy profile 176 has a cusp 178 corresponding to the cusp 180 found between the two pills 134 in the discharging element 146.
Referring again to FIG. 10b, so long as the energy profile is null, a signal is asserted indicating that there are no pills in the discharging element 146. Assertion of this signal causes the robotics to rotate the container (until the three rotations are complete). Once one or more pills are disposed within the discharging element 146, the energy profile is no longer null in block 172 and thus, in block 184, the energy profile is analyzed to determine whether there are any cusps. If a cusp is found in decision block 186, a "multiple pill" signal is asserted by the control electronics 36. If no cusp is found, then the "single pill" signal is asserted by the control electronics 36. The "multiple pill" signal and "single pill" signal are used in decision block 166 of FIG. 10a.
FIG. 10c and FIGS. 11e-f illustrate a second embodiment of the present invention wherein a pill-specific profile is compared with the profile generated by the singulation optics 124 and the control electronics 36 to determine whether more than one pill is loaded in the holding area 152.
Whereas the singulation method shown in FIG. 10b and FIGS. 11a-d is pill-independent, i.e., it can be used without any information regarding the type of pills being singulated, the method shown in FIGS. 10c and 11e-f use pill-specific information to improve the quality of the singulation process. This embodiment is useful for use with odd-shaped pills, such as the bow-tie shaped pill 134 shown in FIG. 11e, which would produce an energy profile 190 shown in FIG. 11f. Such a profile may be interpreted as having a cusp which would indicate multiple pills under the previously described embodiment, even though a single pill was in the discharging element 146.
In this embodiment, pill-specific information is retrieved in block 192 of FIG. 10c which corresponds to the profile which should be obtained if a single pill is in the discharging element 146. The pill-specific information may be stored in a database in the memory of the control electronics 36 or may be specified on the label 144. Information in the profile would include, for example, the height, depth, and width dimensions of the pill and shape type, such as round, capsule, oblong and bow-tie. The pill-specific information is used in a three dimensional comparision with the profile determined from the image provided by the singulation optics 124 in block 196. If the energy profile matches within a given threshold in decision block 198, the "single pill" signal is asserted in block 200. If there is not a match in block 198, the "multiple pill" signal is asserted in block 202.
The pill-specific approach is also useful for capsules, where two or more capsules may overlap in the holding area. Because of the shape of the capsules, a cusp may not be apparent from the energy profile. However, the width dimension would be in excess of the pill-specific dimension, and would therefore cause a multiple pill signal. Further, the pill-specific approach may be useful in an embodiment where a predetermined number of pills greater than one are being detected.
Even using pill-specific information, it is possible that singulation errors may occur, albeit rarely, if two pills are positioned such that one pill is directly in front of the other. This situation can be overcome by using two cameras to view the holding area 152 from different directions (or by adjusting the position of the holding area relative to the camera to provide two or more views) such that one pill cannot completely obscure the other.
Referring to FIG. 12 a container 210 for holding larger objects is shown in an exploded view. Container 210 is used for dispensing single regular or irregular shaped units upon rotation of the apparatus 210. In this particular embodiment, there is shown irregular shaped units 211 such as, for example, a syringe or ampules, located in compartments 214. These compartments 214 are located in a dispensing container 215 having generally concave walls 216. Compartments 214 are formed within the generally concave walls 216 having three sides 214A, 214B, 214C and one open side 214D. The irregular or regular units 211 can be discharged from the compartment 214 through the open side 214D of the compartment 214 to the outside upon rotation of the compartment 214 to a position that gravity would cause the irregular or regular units 211 to fall.
A cylinder 217 is provided which has at least one slot 218 therein for selectively providing an opening for selective dispensing of the irregular and regular units 211; the cylinder 217 is mounted exteriorly of the dispensing container 215.
The dispensing container 215 and the cylinder 217 are sized, as can be seen in FIG. 12, such that they can be mounted in a nesting relationship and for free rotation therebetween. It will be apparent that when slot 218 is rotated over a compartment 214 in the dispensing container 215, that compartment 214 will be open to discharge its units 211. The container 215 and cylinder 217 can be positioned such that gravity will cause the irregular or regular shaped units 211 to discharge from the compartment 214 accessed through slot 218.
In the embodiment shown in FIGS. 12, 13, and 15 (along with FIGS. 17 and 18), the dispensing container 215 is comprised of compartments 214 which are arranged in a circular fashion about the axis of dispensing container 215 which has concave walls 216. The top end 224 of the dispensing container 215 is closed and the bottom end 225 is also closed to provide a closure to the compartments 214 for the retention of the units 211 to be dispensed.
In the embodiment shown in FIGS. 14 and 16 (along with FIGS. 17 and 18), an additional septum 226 is provided mid-way along the dispensing container 215 to provide for an eight unit dispensing container 215 instead of a four unit dispensing container as shown in FIGS. 13 and 15. It would be understood by those skilled in the art, that the length of the container and the number of septums and the compartments created could be varied depending upon the size of the container and the size of the units 210 to be dispensed without departing from the scope and contents of this invention.
To selectively rotate the cylinder 217 and the dispensing container 215 either together as a unit or, alternatively, independently as separate pieces so that the slot 218 is brought into new positions for dispensing a unit 211 requires the selective engaging of the container 215 and cylinder 217. As shown in FIGS. 15, 16 and 19, female members 219 are located on the lower portion 220 of the cylinder 217 which are functionally related to male members 221 located on one end 222 of the dispensing container 215. A resilient member, spring 223, is provided for creating a force engaging or disengaging the male and female members 219 and 221. Thus, when resilient member 223 is expanded, the male and female members 221 and 219 are mated to provide engagement of the cylinder 217 and the dispensing container 215. When the resilient member is compressed, the cylinder 217 and dispensing container 215 may be rotated independent of each other.
Cylinder 217 has located on its other end 229 members 230 for allowing the engagement and holding of said cylinder 217 and dispensing container 215 in the receptacles 88. By holding the cylinder 217 in a fixed position (with the slot 218 upwards) in a receptacle 88, the robotics subsystem 40 rotates the dispensing container 215 inside said cylinder 217 for the alignment of slot 218 over a selected compartment 214.
As shown in FIG. 23, the members 230 are composed of at least two pins projecting from cylinder 217 or at least two raised inclined surfaces 232 which project upward from the cylinder 217. These are designed to be engaged with the receptacle 88. In the embodiment shown in FIGS. 20, 21, and 22, the exterior uppermost edge of the storage means 233 has a flared portion 247 for providing an aligning function for the receiving of the apparatus 210 as it is moved in place by mechanical means. In the illustrated embodiment shown in FIG. 21, a foam core 250 may be used in the receptacle to give a more firm and secure closure by drawing the apparatus 210 into the foam core 250.
The raised inclined surfaces 232 on cylinder 217 are functionally related in at least one case to at least two pins 235 which project from the storage member 233. The raised inclined surfaces 232 are designed to be in sliding relationship with the at least two pins 235 as the cylinder 217 and dispensing container 215 are placed in proximity to the at least two pins 235 of the storage means 233. Thus, the cylinder 217 and dispensing container 215 are rotated while locked in the unit nesting configuration, the two pins 235 travel along the incline surfaces 232A until they reach the two relatively flat surfaces 232B at the upwardmost point of the inclined surface 232A for locking the apparatus 210 in a fixed position. Two stopping members 236 proximate the two relatively flat surfaces 232B for a final resting position for the storage and/or indexing of units from the apparatus 210.
Referring again to FIG. 12, a wheel member 237 is provided and is connected to a shaft 238 which is, in turn, connected to the dispensing container 215 by passing the shaft 238 and spacer 238A through the aperture 229 in the end 227 of the cylinder 217. The end effector 112 can securely mate to pins 237A, using channels 241 (and colinear channel 240 through the dispensing container 215) to guide a pin (not shown) on the end effector 112 to aid in coupling the end effector to the wheel member 237. Also located about the shaft 238 and between the wheel member 237 and the end 227 of the lower portion 220 of the cylinder 217 is the resilient member 223. The wheel member 237 has at least two projections 237A therefrom for interfacing with the end effector 112 of the robotics subsystem 40.
Upon the application of positive pressure applied axially to the wheel member 237 as represented by arrows 249 in sufficient force to overcome the resilient spring 223, the male member 221 and the female member 228 are disengaged and, upon the application of torque to the wheel member 237 as shown in FIG. 19, the cylinder 217 and dispensing container 215 are capable of being rotated independent of each other and yet still be in nesting relationship.
Thus, when the apparatus 210 is securely fastened to receptacle 88, shown in FIGS. 20 and 21, and a positive pressure is applied axially to the shaft 238 of wheel member 237 sufficient to overcome the spring 223, then cylinder 217 and container 215 can be rotated independently.
FIGS. 24-26 illustrate the medication packaging subsystem 38. The packaging subsystem comprises a printing module 300, a bulk material reel 302 and a opener/sealer 304. The bulk material reel 302 comprises a reel for dispensing a strip of packaging material, which is shown in greater detail in connection with FIGS. 25a-b. The packaging material 306 comprises a continuous strip of two-ply package material sealed on edges 308a-b. Pockets 314 of material are created by seals 310. Just below each seal 310, a perforation 312 is formed such that each pocket 314 can be easily separated from the strip. On one side of the two-ply material, the perforation is pre-opened such that the pocket 314 is accessible. This material can be purchased from a variety of manufacturers in the form described, i.e., having pre-sealed pockets 314 wherein one side of the material has a perforation 312 and the other side of the material has a slit 316 to allow access to the interior of the pocket 314. By using material which has the pre-formed pockets described above, the mechanics of the packaging subsystem 38 is simplified.
The packaging material 306 is pulled through roll-drives 318 to the printhead 320. Printheads for printing directly to a plastic material are available from a number of sources. The output from the printhead 320 is directed to cutter 322. The cutter 322 separates strips of packages for different patients. After passing cutter 322, the packaging material is directed through roll-drive 328 where a pocket 314 is disposed between first and second vacuum arms 330 and 332. Vacuum arm 330 is rotatable under control of the control electronics 36. Prior to dispensing medication from a container 90, a vacuum is applied to vacuum arms 330 and 332 through holes 333, such that the plastic material 306 is temporarily adhered to the vacuum arms. Vacuum arm 330 is rotated outward such that an opening 334 is created at the top of pocket 314 to provide the maximum clearance for the medication to be dispensed.
After the opening 334 is formed, the container 90 is rotated to drop the medication unit into the opening. A "light curtain" is directed across the width of the pocket 314 by light source 306. The light curtain travels through slits 338a-b formed in vacuum arms 330 and 332, respectively, and the light produced thereby is detected by a detector 340. The detector 340 outputs a signal indicating whether the curtain of light is broken, thereby indicating whether the pill from the container 130 (or other medication unit from container 210) has landed in the package.
After the pill is detected, the package is driven down its path by roller drive 342 and the opening 334 is closed and sealed.
By using the packaging material 306, which is perforated and slit, as shown in FIG. 25a, the mechanics of the packaging subsystem can be reduced. However, it is also possible to provide a packaging subsystem wherein the packaging material is not pre-slit and/or not pre-perforated. In this embodiment, the packaging material is sealed by the packaging subsystem 38 to begin a package, and slit to receive a medication unit. After the medication unit is placed in the pocket formed by the seal and the sides of the packaging material, another seal is formed to encapsulate the medication unit. The package can then be perforated by the packaging subsystem.
Other mechanisms can also be used to provide the opening 334 to the pocket 314 formed in the packaging material for transfer of the medication unit. One such alternative mechanism is a blower disposed above the packaging material to provide an airflow towards the slit 316. This air flow will cause air to flow into the pocket and hence separate the sheets forming the pocket. Thus, a wide opening can be achieved. While this embodiment is advantageous because it simplifies the mechanics of the packaging subsystem 38, it may be more difficult to implement due to the effect of the air flow on the medication unit as it falls into the pocket.
It is important to note that both bulk medication containers 130 and module containers 210 can be used to drop units directly into the package 314. Since the medication drops directly through the opening 334 into the pocket 314, there is no cross-contamination, i.e., medication units do not touch a surface which has been touched by a medication unit of another type. Cross-contamination is a particular problem in systems which require a funnel or ramp to guide medication into the package, since the funnel or ramp will become contaminated by each pill with which it comes in contact.
FIGS. 27a-c illustrate a gating mechanism for directing the passage between packages of medication and the exterior of the dispenser 12. All output from the packaging subsystem 38 is directed down chute 350. A gate 352 directs such packages to a stat area 354 if the nurse has requested the package to be delivered stat, i.e., while the nurse waits. Gate 352 closes and gate 355 opens to direct packages to a scheduled medication drawer 356 (see FIG. 27b). The scheduled medication drawer is the default path for the package to take. By directing the package to the scheduled medication drawer, the nurse may perform other duties while the package (or packages for a number of patients) are being prepared and the nurse can return to remove the packages from the scheduled medication drawer 356 when the packages are finished. The scheduled medication drawer can only be opened upon proper authority. FIG. 27c illustrates the path to the waste access drawer where both gate 352 and gate 355 are closed. The waste access drawer is for surplus packaging material which results from the packaging process and return of unused medications.
The present invention provides a number of advantages over the prior art. First, the system can be used with existing pharmacy software such that patient orders can be entered using existing procedures. Second, medications can be transferred from the pharmacy to the various dispensers in bulk containers, which greatly reduces the time involved in preparing medication orders. Third, the system provides security against unauthorized personnel gaining access to hospital medical supplies. Fourth, the dispensers can account for each medication removed. Fifth, the dispensers only allow removal of medication which has been authorized by a physician and entered into the pharmacy database. Sixth, each patient's package is labelled with the patient's demographic information and with information pertaining to the medication in the package to reduce administration errors. Seventh, the medication is transferred to the package without any cross-contamination between medications. Eighth, the dispensers reduce human error in providing the medication for individual patients.
Although the present invention and its advantages have been described in detail, it should be understood that various changes, substitutions and alterations can be made herein without departing from the spirit and scope of the invention as defined by the appended claims.

Claims (26)

What is claimed is:
1. Apparatus for dispensing medication in a hospital comprising:
a plurality of containers for holding medication units;
a plurality of holders for holding one or more medication units from associated containers;
an imaging system for generating an image of the medication units in a selected holder to determine whether a desired number of medication units are present;
packaging apparatus for containing one or more medication units in a package; and
robotics for manipulating a holder to transfer one or more medication units from the container directly to said package.
2. The apparatus of claim 1 and further comprising a storage module for holding a plurality of said containers.
3. The apparatus of claim 2 wherein said storage module comprising a rotating carousel having a plurality of receptacles disposed thereon for receiving respective containers.
4. The apparatus of claim 1 wherein each holder is coupled to an associated container.
5. The apparatus of claim 4 and further comprising control circuitry for controlling said robotics to manipulate said containers to place said desired number of medication units in the associated holder.
6. The apparatus of claim 1 wherein said packaging apparatus comprises:
holding means for holding packaging material; and
apparatus for opening a pocket in said packaging material into which said one or more medication units are transferred.
7. The apparatus of claim 1 and further comprising an interface to a hospital pharmacy system for retrieving data therefrom.
8. The apparatus of claim 1 and further comprising a user interface for receiving instructions from a user and issuing instructions to cause transfer of said medication units from said containers to said packaging apparatus.
9. The apparatus of claim 8 and further comprising control circuitry coupled to said user interface, said packaging apparatus and said robotics.
10. The apparatus of claim 9 and further comprising a printer coupled to said user interface for printing reports.
11. A system of dispensing medications throughout a hospital comprising:
circuitry for maintaining a database of information associated with patient medication orders; and
a plurality of medication dispensers for dispensing medication responsive to said database of information, each dispenser comprising:
a plurality of containers for holding medication units;
a plurality of holders for holding one or more medication units from associated containers;
an imaging system for generating an image of the medication units in a selected holder to determine whether a desired number of medication units are present;
packaging apparatus for containing one or more medication units in a package; and
robotics for manipulating a holder to transfer one or more medication units from the container directly to said package.
12. The system of claim 11 wherein each dispenser further comprises a rotating carousel having a plurality of receptacles disposed thereon for receiving respective containers.
13. The system of claim 11 wherein each holder is coupled to an associated container.
14. The apparatus of claim 13 and further comprising control circuitry for controlling said robotics to manipulate said containers to place said desired number of medication units in the associated holder.
15. The apparatus of claim 11 wherein said packaging apparatus comprises:
holding means for holding packaging material; and
apparatus for opening a pocket in said packaging material into which said one or more medication units are transferred.
16. The apparatus of claim 15 wherein said apparatus for forming a pocket comprises first and second arms for applying a vacuum to respective first and second sides of the packaging material, at least one of said first and second arms being movable to displace a portion of said first side from a portion of said second side to form an opening to the pocket.
17. The apparatus of claim 11 wherein said packaging apparatus further comprises a printer for printing patient and medication administration information on said packaging material.
18. Apparatus for dispensing medication in a hospital comprising:
a plurality of containers for holding medication units, said containers having a holding area for temporarily holding one or more medication units;
packaging apparatus for containing one or more medication units in a package; and
an imaging subsystem for detecting the presence of a single medication unit in said holding area;
robotics for manipulating a selected container to transfer medication unit from the container directly to said package.
19. The apparatus of claim 18 wherein said subsystem detects the absense of any medication units in said holding area.
20. The apparatus of claim 19 wherein said subsystem detects the presence of more than a single medication unit in said holding area.
21. The apparatus of claim 19 wherein said subsystem comprises imaging circuitry for generating an image of the contents of said holding area.
22. The apparatus of claim 21 wherein said subsystem further comprises processing circuitry for identifying a cusp in said image and generating a control signal in response thereto.
23. The apparatus of claim 21 wherein said subsystem further comprises processing circuitry for comparing said image with pill-specific information to determine whether a single pill is present in said holding area.
24. The apparatus of claim 23 and further comprising a database coupled to said processing circuitry for storing said pill-specific information.
25. The apparatus of claim 23 wherein said pill-specific information includes pill dimension and shape information.
26. The apparatus of claim 18 wherein said subsystem includes a plurality of imaging circuits to provide images of the holding area from different angles.
US08/161,899 1993-12-03 1993-12-03 Medication dispenser system Expired - Lifetime US5502944A (en)

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EP94308968A EP0656200A3 (en) 1993-12-03 1994-12-02 Apparatus for dispensing medication.

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Cited By (222)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1997034268A1 (en) * 1996-03-11 1997-09-18 Scriptpro, L.L.C. Medicament verification in an automatic dispensing system
US5671592A (en) * 1994-10-21 1997-09-30 Yuyama Mfg. Co., Ltd. Medicine packing apparatus
US5678393A (en) * 1995-01-10 1997-10-21 Kabushiki Kaisha Yuyama Seisakusho Drug packing apparatus
US5720154A (en) * 1994-05-27 1998-02-24 Medco Containment Services, Inc. Enhanced drug dispensing system
US5737539A (en) * 1994-10-28 1998-04-07 Advanced Health Med-E-Systems Corp. Prescription creation system
US5745366A (en) * 1994-07-14 1998-04-28 Omnicell Technologies, Inc. Pharmaceutical dispensing device and methods
US5752368A (en) * 1995-08-23 1998-05-19 Sanyo Electric Co., Ltd. Medication filling apparatus
US5765606A (en) * 1994-12-28 1998-06-16 Sanyo Electric Co., Ltd. Medication filling apparatus
US5771657A (en) * 1996-05-07 1998-06-30 Merck Medco Managed Care, Inc. Automatic prescription filling, sorting and packaging system
US5787678A (en) * 1997-05-01 1998-08-04 Kabushiki Kaisha Yuyama Seisakusho Drug packaging device
US5805454A (en) * 1995-08-10 1998-09-08 Valerino, Sr.; Fred M. Parenteral products automation system (PPAS)
US5819500A (en) * 1995-08-23 1998-10-13 Sanyo Electric Co., Ltd. Medication packaging apparatus
US5832693A (en) * 1997-01-22 1998-11-10 Kabushiki Kaisha Yuyama Seisakusho Apparatus for collecting ampules
US5839257A (en) * 1996-04-22 1998-11-24 Automed Technologies Incorporated Drug packaging machine
US5845255A (en) * 1994-10-28 1998-12-01 Advanced Health Med-E-Systems Corporation Prescription management system
US5852911A (en) * 1996-02-07 1998-12-29 Kabushiki Kaisha Yuyama Seisakusho Tablet dispenser
US5884806A (en) * 1996-12-02 1999-03-23 Innovation Associates, Inc. Device that counts and dispenses pills
US5905653A (en) * 1994-07-14 1999-05-18 Omnicell Technologies, Inc. Methods and devices for dispensing pharmaceutical and medical supply items
US5907493A (en) * 1997-01-31 1999-05-25 Innovation Associates, Inc. Pharmaceutical dispensing system
US5941867A (en) * 1997-07-15 1999-08-24 Kao; Ti Formulation of pharmaceutical solutions in free fall
US5946883A (en) * 1996-05-03 1999-09-07 Kabushiki Kaisha Yuyama Seisakusho Drug filling machine
US5963453A (en) * 1996-11-25 1999-10-05 Medication Management, Inc. System and method for processing prescription medications
US5966910A (en) * 1995-05-19 1999-10-19 I.M.A. Industria Macchine Automatiche S.P.A. Automatic machine for packaging tablets in gelatine capsules
US5971593A (en) * 1994-12-16 1999-10-26 Diebold, Incorporated Dispensing system for medical items
US5988858A (en) * 1995-06-09 1999-11-23 Kabushiki Kaisha Yuyama Seiksakusho Method and apparatus for delivering drugs
US5993046A (en) * 1993-01-25 1999-11-30 Diebold, Incorporated System for dispensing medical items by brand or generic name
US5995938A (en) * 1996-02-27 1999-11-30 Whaley; Susan S. Medication compliance system
WO2000006078A2 (en) * 1998-07-30 2000-02-10 Systems & Electronics Pharmaceutical pill recognition and verification system
US6032155A (en) * 1997-04-14 2000-02-29 De La Huerga; Carlos System and apparatus for administering prescribed medication to a patient
US6050064A (en) * 1997-10-23 2000-04-18 Yuyama Mfg. Co., Ltd. Tablet packing apparatus
US6098892A (en) * 1998-05-27 2000-08-08 Peoples, Jr.; Max J. Device for conversion from a pharmaceutical identification number to a standardized number and method for doing the same
US6108588A (en) * 1993-01-25 2000-08-22 Diebold, Incorporated Restocking method for medical item dispensing system
US6112502A (en) * 1998-02-10 2000-09-05 Diebold, Incorporated Restocking method for medical item dispensing system
US6151536A (en) * 1998-09-28 2000-11-21 Omnicell.Com Dispensing system and methods
US6163737A (en) * 1993-01-25 2000-12-19 Diebold, Incorporated Medical item dispensing apparatus
US6175779B1 (en) 1998-09-29 2001-01-16 J. Todd Barrett Computerized unit dose medication dispensing cart
US6202923B1 (en) 1999-08-23 2001-03-20 Innovation Associates, Inc. Automated pharmacy
US6259654B1 (en) 1997-03-28 2001-07-10 Telaric, L.L.C. Multi-vial medication organizer and dispenser
US6256967B1 (en) 1998-08-27 2001-07-10 Automed Technologies, Inc. Integrated automated drug dispenser method and apparatus
US6267753B1 (en) 1997-07-15 2001-07-31 Ti Kao Robotic medicament dispenser
WO2001059691A1 (en) * 2000-02-11 2001-08-16 Scriptpro Llc Pharmacy pill counting vision system
US20010028308A1 (en) * 1997-03-28 2001-10-11 Carlos De La Huerga Interactive medication container
US20010044731A1 (en) * 2000-05-18 2001-11-22 Coffman Damon J. Distributed remote asset and medication management drug delivery system
US20020038392A1 (en) * 1999-10-22 2002-03-28 Carlos De La Huerga Method and apparatus for controlling an infusion pump or the like
US6367232B2 (en) * 2000-04-24 2002-04-09 Jv Medi Co., Ltd. Tablet cassette installation-error preventing system for automatic tablet supplying and packaging apparatus
US20020042726A1 (en) * 1994-10-28 2002-04-11 Christian Mayaud Prescription management system
US6378572B1 (en) * 2001-03-28 2002-04-30 Siemens Corporate Research, Inc. Image processing system for inspection of tablets in slab filler packaging machines
US6397558B1 (en) * 1998-10-23 2002-06-04 Yuyama Mfg. Co., Ltd. Medication packing apparatus
US6426699B1 (en) 1998-12-02 2002-07-30 David Porter Collapsible storage device for the delivery and pickup of goods
US20020138305A1 (en) * 2001-03-26 2002-09-26 Fujitsu Limited Drug information processing device, medical record recording device, drug information providing system, drug information processing program storage medium, and medical record recording program storage medium
US6488192B1 (en) 1999-04-21 2002-12-03 Yuyama Mfg. Co., Ltd. Tablet cutting apparatus
US20030010791A1 (en) * 2001-07-13 2003-01-16 Andrew Gentiluomo Method and apparatus for dispensing a customized pharamaceutical mixture
US6529446B1 (en) 1996-12-20 2003-03-04 Telaric L.L.C. Interactive medication container
US6532399B2 (en) 2001-06-05 2003-03-11 Baxter International Inc. Dispensing method using indirect coupling
US6543692B1 (en) * 1999-09-03 2003-04-08 Gerhard Nellhaus Schema for identification of solid form drugs
US20030088333A1 (en) * 1995-10-18 2003-05-08 Telepharmacy Solutions, Incorporated Method for controlling a drug dispensing system
US6564121B1 (en) * 1999-09-22 2003-05-13 Telepharmacy Solutions, Inc. Systems and methods for drug dispensing
US6574861B1 (en) 2001-04-11 2003-06-10 Applied Micro Circuits Corporation System and method for solder ball rework
US6580968B1 (en) * 1999-11-22 2003-06-17 Yuyama Mfg. Co., Ltd. Control apparatus for dispensing machines
US20030141981A1 (en) * 2002-01-29 2003-07-31 Tuan Bui System and method for operating medical devices
US6604019B2 (en) * 1998-05-27 2003-08-05 Nextrx Corporation Automated pharmaceutical management and dispensing system
US6611733B1 (en) 1996-12-20 2003-08-26 Carlos De La Huerga Interactive medication dispensing machine
US20030164378A1 (en) * 2002-02-01 2003-09-04 Simson Anton K. Beverage container unloading and dispensing apparatus
US6640159B2 (en) 1996-12-05 2003-10-28 Omnicell Technologies, Inc. Replacement liner and methods for a dispensing device
US20030204416A1 (en) * 2002-04-30 2003-10-30 Sayeh Radpay System and method for facilitating time-based infusion orders
US20030216831A1 (en) * 1999-09-22 2003-11-20 Telepharmacy Solutions, Inc. Systems and methods for dispensing medical products
US20030224729A1 (en) * 2002-05-28 2003-12-04 Arnold Kenneth David Interference resistant wireless sensor and control system
US20030225728A1 (en) * 2002-05-31 2003-12-04 Moura Anthony A. Pharmacy system and method
US20030234258A1 (en) * 2002-06-25 2003-12-25 Dean Stephens Medicine compliance system
US20030235491A1 (en) * 2002-04-22 2003-12-25 Subotincic Milos Misha End effector with multiple pick-up members
US20040019464A1 (en) * 2002-01-29 2004-01-29 Martucci James P. System and method for identifying data streams associated with medical equipment
US20040034447A1 (en) * 2002-08-09 2004-02-19 Mckesson Automation Sys Inc Prescription filling apparatus implementing a pick and place method
US6711460B1 (en) * 2001-06-18 2004-03-23 Diebold Incorporated Pharmaceutical system in which pharmaceutical care is provided by a remote professional serving multiple pharmacies
US20040078231A1 (en) * 2002-05-31 2004-04-22 Wilkes Gordon J. System and method for facilitating and administering treatment to a patient, including clinical decision making, order workflow and integration of clinical documentation
US6771369B2 (en) 2002-03-12 2004-08-03 Analytical Spectral Devices, Inc. System and method for pharmacy validation and inspection
US20040158507A1 (en) * 2002-12-06 2004-08-12 Meek Robert B. Inventory management and replenishment system
US20040155049A1 (en) * 2003-02-10 2004-08-12 Artromick International, Inc. Pill sorting device and method of use thereof
US20040154955A1 (en) * 2003-02-10 2004-08-12 Artromick International, Inc. Pill storage receptacle for use in an automated pill dispensing apparatus
US6776341B1 (en) * 1994-08-05 2004-08-17 Scott L. Sullivan Pill printing and identification
US6776306B1 (en) * 1997-04-30 2004-08-17 Medselect Inc. Apparatus for dispensing medical items
US6779663B1 (en) 2002-02-06 2004-08-24 Powell John Pocsi System and method for loading pills into a pillbox
US20040172283A1 (en) * 2003-02-09 2004-09-02 Vanderveen Timothy W. Medication management and event logger and analysis system
US20040193317A1 (en) * 2001-11-30 2004-09-30 Richard Lunak Filling a restocking package using a carousel
US20050021175A1 (en) * 2000-09-06 2005-01-27 Bain Walter M. Automated prescription dispensing system and method of use
US20050021173A1 (en) * 2003-07-01 2005-01-27 Pinney Linda J. System and method for providing a random access and random load dispensing unit
US20050023286A1 (en) * 2003-07-01 2005-02-03 Asteres Inc. Random access and random load dispensing unit
US20050075907A1 (en) * 2003-03-14 2005-04-07 John Rao Emergency station kiosk and related methods
US20050113968A1 (en) * 2002-05-14 2005-05-26 Williams Jeffrey P. System and method for dispensing prescriptions
US20050113969A1 (en) * 2003-11-26 2005-05-26 Mckesson Automation Inc. Integrated suite of medical tools
US6902083B1 (en) * 1997-04-30 2005-06-07 Automed Technologies, Inc. Method for dispensing medical items
US20050135306A1 (en) * 2003-12-05 2005-06-23 Mcallen Christopher M. Discovery and connection management with mobile systems manager
US20050137653A1 (en) * 2003-12-05 2005-06-23 Friedman Gregory S. System and method for network monitoring of multiple medical devices
US20050171815A1 (en) * 2003-12-31 2005-08-04 Vanderveen Timothy W. Centralized medication management system
US20050192705A1 (en) * 2003-07-01 2005-09-01 Asteres Inc. Random access and random load dispensing unit
US20050273196A1 (en) * 1995-08-10 2005-12-08 Valerino Fred M Sr Automatic empty carrier storage, retrieval and distribution system
US20060025884A1 (en) * 2004-05-20 2006-02-02 Claus Henkel Systems and methods of automated tablet dispensing, prescription filling, and packaging
US20060058724A1 (en) * 2004-09-13 2006-03-16 Michael Handfield Smart tray for dispensing medicaments
US7028723B1 (en) * 2003-11-03 2006-04-18 Alouani Ali Tahar Apparatus and method for automatic prescription verification
US7048142B1 (en) 1997-04-30 2006-05-23 Automed Technologies, Inc. Apparatus for dispensing medical items
US7055717B1 (en) 2003-11-04 2006-06-06 Ming S Koh Disposable pill dispensing chute liner
US7061831B2 (en) 1997-03-28 2006-06-13 Carlos De La Huerga Product labeling method and apparatus
US20060136095A1 (en) * 2004-12-22 2006-06-22 Rob Ronald H Automated pharmacy admixture system (APAS)
US7069226B1 (en) 1999-07-07 2006-06-27 Synetic, Incorporated Prescription data processing system for determining new therapy starts
US7072840B1 (en) 1994-10-28 2006-07-04 Cybear, L.L.C. Prescription management system
US20060161294A1 (en) * 2003-07-02 2006-07-20 Omnicare, Inc. Method and system for electronic assistance in dispensing pharmaceuticals
US20060157492A1 (en) * 2002-08-09 2006-07-20 Mckesson Automation Systems, Inc. Dispensing device having a storage chamber, dispensing chamber and a feed regulator there between
US20060175942A1 (en) * 2002-12-06 2006-08-10 Mckesson Automation Inc. High capacity drawer with mechanical indicator for a dispensing device
US20060201107A1 (en) * 2005-03-10 2006-09-14 Jvm Co., Ltd. Tablet automatic packaging machine and method for automatically recognizing cassettes coupled to cartridges thereof
US20060213921A1 (en) * 2005-03-23 2006-09-28 Gazi Abdulhay Pill dispensing apparatus
US20060259195A1 (en) * 2004-12-22 2006-11-16 Eliuk Walter W Automated pharmacy admixture system (APAS)
US20060292492A1 (en) * 2005-06-27 2006-12-28 Nec Corporation Optical information recording medium and optical information reproducing apparatus
US20070062156A1 (en) * 2005-08-25 2007-03-22 Kim Jun H Automatic medicine packing system
US20070158357A1 (en) * 2004-01-30 2007-07-12 Yuyama Mfg, Co., Ltd. Medicine storage and take-out apparatus
US20070262147A1 (en) * 2006-05-10 2007-11-15 Mckesson Automation Inc. System, method and corresponding apparatus for storing, retrieving and delivering unit dose blisters
US20070277477A1 (en) * 2006-06-05 2007-12-06 Jun Ho Kim Method and device for identifying a tablet cassette in an automatic tablet packing machine
US20070296598A1 (en) * 2006-06-21 2007-12-27 Jun Ho Kim Apparatus for identifying support tray data and method thereof
US20080017656A1 (en) * 2002-08-09 2008-01-24 Mckesson Automation Systems Inc. Vacuum pill dispensing cassette and counting machine
US20080071648A1 (en) * 2006-09-20 2008-03-20 Jun Ho Kim Integrated control system and method for automatic medicine packaging apparatuses
US20080077274A1 (en) * 2006-09-22 2008-03-27 Jun Ho Kim Medicine storage cabinet
US20080099499A1 (en) * 2006-11-01 2008-05-01 Jun Ho Kim Cassette device for automatic medicine packaging apparatus
US20080104929A1 (en) * 2006-11-02 2008-05-08 Jun Ho Kim Apparatus and method for preventing irregular packaging for automatic medicine packing machine
US20080114328A1 (en) * 2006-11-09 2008-05-15 Intelligent Hospital Systems Ltd. Control of Fluid Transfer Operations
US20080114818A1 (en) * 2006-11-13 2008-05-15 Jun Ho Kim Method and apparatus for backing up power failure for automatic medicine packing machine
US20080119958A1 (en) * 2006-11-22 2008-05-22 Bear David M Medication Dispenser with Integrated Monitoring System
US20080149522A1 (en) * 2006-12-22 2008-06-26 Jun Ho Kim Division-packaging method and apparatus for automatic medicine packaging machine
US20080149657A1 (en) * 2006-12-22 2008-06-26 Jun Ho Kim Method and apparatus for inspecting manual dispensing tray of automatic medicine packaging machine
US20080189779A1 (en) * 2007-02-07 2008-08-07 Roger Goza Medical Facility Secured Compartments and Method
US20080199353A1 (en) * 2005-12-22 2008-08-21 Intelligent Hospital Systems Ltd. Ultraviolet Sanitization In Pharmacy Environments
US20080215367A1 (en) * 2007-02-02 2008-09-04 Webmd Health Personalized Health Records with Associative Relationships
US20080269947A1 (en) * 2007-04-25 2008-10-30 Beane John A Automated Vending of Products Containing Controlled Substances
US20080270178A1 (en) * 2007-04-30 2008-10-30 Mckesson Specialty Distribution Llc Inventory Management System For A Medical Service Provider
US7451583B2 (en) 2006-12-22 2008-11-18 Jvm Co., Ltd. Automatic medicine packaging machine with door lock unit
US7454880B1 (en) * 2007-05-31 2008-11-25 Xerox Corporation Personalized medication packaging
US20080300794A1 (en) * 2007-05-29 2008-12-04 Mckesson Automation Inc. System, method, apparatus and computer program product for capturing human-readable text displayed on a unit dose package
US7467093B1 (en) * 1994-12-16 2008-12-16 Automed Technologies, Inc Method of tracking and despensing medical items to patients through self service delivery system
US7469213B1 (en) 2003-03-14 2008-12-23 Secure Medical, Inc. Prescription drug distribution system and methods
US20090048871A1 (en) * 2007-08-16 2009-02-19 Qualcomm Incorporated Mobile wireless medication management system
US20090067973A1 (en) * 2007-09-12 2009-03-12 Intelligent Hospital Systems Ltd. Gripper Device
US20090126825A1 (en) * 2007-11-16 2009-05-21 Intelligent Hospital Systems Ltd. Method and Apparatus for Automated Fluid Transfer Operations
US20090188937A1 (en) * 2008-01-25 2009-07-30 Jvm Co., Ltd. Tablet distribution apparatus for auxiliary trays and driving method thereof
US20090241470A1 (en) * 2006-05-11 2009-10-01 Yuyama Mfg. Co., Ltd. Cap Supply Device
US7603197B2 (en) * 2001-03-27 2009-10-13 Yuyama Mfg. Co., Ltd. Medicine packing apparatus
US20090257858A1 (en) * 2007-10-10 2009-10-15 Andre Weclawski Device with multiple engagement members
US20100017296A1 (en) * 2008-07-16 2010-01-21 Spignesi Jr Robert G Automated Dispensing System for Pharmaceuticals and Other Medical Items
US7668731B2 (en) 2002-01-11 2010-02-23 Baxter International Inc. Medication delivery system
WO2010022506A1 (en) * 2008-08-29 2010-03-04 PCA Services Inc. Automated apparatus for dispensing medicaments
US20100147868A1 (en) * 2005-09-30 2010-06-17 Yuyama Mfg. Co., Ltd. Apparatus for releasing drugs
US7751932B1 (en) 1993-01-25 2010-07-06 Automed Technologies, Inc. Method for tracking and dispensing medical items
US20100239169A1 (en) * 2009-03-17 2010-09-23 Mckesson Automation Inc. System And Method For Determining The Orientation Of A Unit Dose Package
US20100241270A1 (en) * 2009-03-18 2010-09-23 Intelligent Hospital Systems Ltd. Automated Pharmacy Admixture System
US20100268380A1 (en) * 2009-04-19 2010-10-21 PCA Services Inc. Automated Apparatus for Dispensing Medicaments
US7860583B2 (en) 2004-08-25 2010-12-28 Carefusion 303, Inc. System and method for dynamically adjusting patient therapy
US20110091068A1 (en) * 2008-07-23 2011-04-21 I-Property Holding Corp Secure Tracking Of Tablets
US20110146835A1 (en) * 2008-08-23 2011-06-23 Robert Terzini Automated pharmacy drug handling and prescription verification system and method
US20110186629A1 (en) * 2009-07-23 2011-08-04 I-Property Holding Corp Method For The Authentication Of Dosage Forms
US20110188051A1 (en) * 2008-07-23 2011-08-04 I-Property Holding Corp Secure Tracking Of Tablets
US20110215109A1 (en) * 2010-03-04 2011-09-08 Bailey Vern M Method and apparatus for non-linear dispensing of specific items on demand
US8145353B1 (en) 2008-02-21 2012-03-27 Dennis Cotner Automated retrieval and delivery of medications
US8234128B2 (en) 2002-04-30 2012-07-31 Baxter International, Inc. System and method for verifying medical device operational parameters
US20120245962A1 (en) * 2009-12-16 2012-09-27 Koninklijke Philips Electronics N.V. Sleep management vending kiosk and associated method
US8296162B1 (en) 2005-02-01 2012-10-23 Webmd Llc. Systems, devices, and methods for providing healthcare information
US20120330152A1 (en) * 2009-11-27 2012-12-27 Claus-Peter Reisinger Fluid management system
US8423180B1 (en) * 1994-12-16 2013-04-16 Automed Technologies, Inc. System for tracking and dispensing medical items from environmentally controlled storage area
EP2589011A1 (en) * 2010-04-12 2013-05-08 Provider Meds, Lp On site prescription management system and methods for health care facilities
WO2014018499A1 (en) * 2012-07-23 2014-01-30 Pharmadva, LLC Object dispenser having a variable orifice and image identification
US8775196B2 (en) 2002-01-29 2014-07-08 Baxter International Inc. System and method for notification and escalation of medical data
US20140303774A1 (en) * 2011-09-29 2014-10-09 Beaver Machine Corporation Vending machine comprising containers, to be loaded with selected products and then sealed before delivery
US20140367221A1 (en) * 2011-10-18 2014-12-18 Rxsafe Llc Pharmaceutical storage and retrieval system
US20150134106A1 (en) * 2009-11-25 2015-05-14 Fastcorp 3, Llc Control system for and method of controlling product delivery systems
US9069887B2 (en) 2000-05-18 2015-06-30 Carefusion 303, Inc. Patient-specific medication management system
US9251493B2 (en) 2010-03-09 2016-02-02 Perceptimed, Inc. Medication verification and dispensing
US20160039553A1 (en) * 2014-08-05 2016-02-11 Makefield Llc Dispensable unit identification
US9272796B1 (en) * 2011-01-11 2016-03-01 Chudy Group, LLC Automatic drug packaging machine and package-less verification system
US9355221B2 (en) 2008-02-20 2016-05-31 Chudy Group, LLC Methods for item management
US9400873B2 (en) 2011-12-21 2016-07-26 Deka Products Limited Partnership System, method, and apparatus for dispensing oral medications
US9399543B2 (en) 2010-07-14 2016-07-26 Parata Systems, Llc Automated pharmacy system for dispensing unit doses of pharmaceuticals and the like
US9427520B2 (en) 2005-02-11 2016-08-30 Carefusion 303, Inc. Management of pending medication orders
US9443370B2 (en) 2012-03-26 2016-09-13 Omnicare, Inc. Method and apparatus for onsite distribution of medications and medical supplies
US20160292858A1 (en) * 2011-02-03 2016-10-06 Luca Natali System and method for packaged medicament inspection
WO2016205666A1 (en) * 2015-06-18 2016-12-22 Medsentry, Inc. Medication dispensing device and method
US20170027818A1 (en) * 2002-12-03 2017-02-02 Baxter Corporation Englewood Automated drug preparation apparatus including automated drug reconstitution
US9710609B2 (en) 2003-11-03 2017-07-18 Tech Pharmacy Services, Llc System of enhanced distribution of pharmaceuticals in long-term care facilities
US9733012B2 (en) 2012-08-23 2017-08-15 Trumed Systems, Inc. Smart storage of temperature sensitive pharmaceuticals
US9731895B2 (en) 2013-12-07 2017-08-15 Trumed Systems, Inc. Automated smart storage of temperature sensitive products
US9741001B2 (en) 2000-05-18 2017-08-22 Carefusion 303, Inc. Predictive medication safety
KR20170129581A (en) * 2016-05-17 2017-11-27 전윤식 Device for expiration date indicating wrapped drug
US9842257B2 (en) 2012-01-23 2017-12-12 Perceptimed, Inc. Automated pharmaceutical pill identification
US9930297B2 (en) 2010-04-30 2018-03-27 Becton, Dickinson And Company System and method for acquiring images of medication preparations
US10016554B2 (en) 2008-07-09 2018-07-10 Baxter International Inc. Dialysis system including wireless patient data
US10025908B1 (en) * 2015-02-25 2018-07-17 Leonardo Y. Orellano Medication adherence systems and methods
US10029047B2 (en) 2013-03-13 2018-07-24 Carefusion 303, Inc. Patient-specific medication management system
US10062457B2 (en) 2012-07-26 2018-08-28 Carefusion 303, Inc. Predictive notifications for adverse patient events
US10061899B2 (en) 2008-07-09 2018-08-28 Baxter International Inc. Home therapy machine
US10160588B2 (en) 2013-03-15 2018-12-25 Hero Health, Inc. Dispensing cartridge
US10173008B2 (en) 2002-01-29 2019-01-08 Baxter International Inc. System and method for communicating with a dialysis machine through a network
US10242161B2 (en) * 2017-03-16 2019-03-26 JB-Create, Inc. Automatic drug dispensing and picking sytem
US10347374B2 (en) 2008-10-13 2019-07-09 Baxter Corporation Englewood Medication preparation system
US10353856B2 (en) 2011-03-17 2019-07-16 Carefusion 303, Inc. Scalable communication system
US10360751B2 (en) 2012-07-23 2019-07-23 Pharmadva, LLC Object dispenser having a variable orifice and image identification
US10358247B2 (en) 2017-10-27 2019-07-23 Chudy Group, LLC Compartmentalized container loading and management system
US10417758B1 (en) 2005-02-11 2019-09-17 Becton, Dickinson And Company System and method for remotely supervising and verifying pharmacy functions
US10427819B2 (en) 2015-08-25 2019-10-01 Chudy Group, LLC Plural-mode automatic medicament packaging system
US10430554B2 (en) 2013-05-23 2019-10-01 Carefusion 303, Inc. Medication preparation queue
US20190307643A1 (en) * 2002-12-03 2019-10-10 Baxter Corporation Englewood Automated drug preparation apparatus including automated drug reconstitution
US10552577B2 (en) 2012-08-31 2020-02-04 Baxter Corporation Englewood Medication requisition fulfillment system and method
US10555873B2 (en) * 2015-05-26 2020-02-11 Michel Poirier Modular medication dispensing system
US10646405B2 (en) 2012-10-26 2020-05-12 Baxter Corporation Englewood Work station for medical dose preparation system
US10679342B2 (en) 2014-09-08 2020-06-09 Becton, Dickinson And Company Aerodynamically streamlined enclosure for input devices of a medication preparation system
US10818387B2 (en) 2014-12-05 2020-10-27 Baxter Corporation Englewood Dose preparation data analytics
US10857070B2 (en) 2018-06-04 2020-12-08 The Trustees Of Indiana University Method and system for autonomously measuring, recording, and reporting changes in the interior content of containers
US10867265B2 (en) 2013-03-13 2020-12-15 Carefusion 303, Inc. Predictive medication safety
US10971257B2 (en) 2012-10-26 2021-04-06 Baxter Corporation Englewood Image acquisition for medical dose preparation system
US10984901B1 (en) 2013-12-18 2021-04-20 Stuart Renwick Locklear Method and system to implement medical information tracking system and medication dispenser
US11013857B2 (en) 2016-07-06 2021-05-25 Bayer Healthcare Llc Contrast heating system with in-line contrast warmer
US11087873B2 (en) 2000-05-18 2021-08-10 Carefusion 303, Inc. Context-aware healthcare notification system
US11107574B2 (en) 2014-09-30 2021-08-31 Baxter Corporation Englewood Management of medication preparation with formulary management
US11182728B2 (en) 2013-01-30 2021-11-23 Carefusion 303, Inc. Medication workflow management
US11264124B2 (en) 2008-02-20 2022-03-01 Chudy Group, LLC System and apparatus for item management
US11367533B2 (en) 2014-06-30 2022-06-21 Baxter Corporation Englewood Managed medical information exchange
US11495334B2 (en) 2015-06-25 2022-11-08 Gambro Lundia Ab Medical device system and method having a distributed database
US11516183B2 (en) 2016-12-21 2022-11-29 Gambro Lundia Ab Medical device system including information technology infrastructure having secure cluster domain supporting external domain
US11575673B2 (en) 2014-09-30 2023-02-07 Baxter Corporation Englewood Central user management in a distributed healthcare information management system

Families Citing this family (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5522525A (en) * 1994-12-02 1996-06-04 Nu-Box, Inc. Medication dispenser station
US6176392B1 (en) * 1997-12-05 2001-01-23 Mckesson Automated Prescription Systems, Inc. Pill dispensing system
US7645258B2 (en) 1999-12-01 2010-01-12 B. Braun Medical, Inc. Patient medication IV delivery pump with wireless communication to a hospital information management system
US7930064B2 (en) 2004-11-19 2011-04-19 Parata Systems, Llc Automated drug discrimination during dispensing
US7182105B1 (en) * 2005-11-08 2007-02-27 Mts Medication Technologies, Inc. Automated solid pharmaceutical packaging machine utilizing robotic drive
KR100800293B1 (en) * 2006-11-15 2008-02-01 (주)제이브이엠 Medicine packing machine with bitmap image printing function and method thereof
US8016095B2 (en) * 2007-05-18 2011-09-13 Parata Systems, L.L.C. Device for offloading capped vials useful in system and method for method for dispensing prescriptions
ITPR20080019A1 (en) 2008-03-19 2009-09-20 Ingegneria Biomedica Santa Lucia Spa METHOD AND DEVICE FOR THE STORAGE AND DISTRUBUTION OF PHARMACEUTICAL ARTICLES DIVIDED IN UNITARY DOSES OR POSOLOGICAL UNITS.
US8284386B2 (en) 2008-11-26 2012-10-09 Parata Systems, Llc System and method for verifying the contents of a filled, capped pharmaceutical prescription
US8374965B2 (en) 2008-11-26 2013-02-12 Parata Systems, Llc System and method for verifying the contents of a filled, capped pharmaceutical prescription

Citations (30)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3599152A (en) * 1968-11-15 1971-08-10 Robert L Williams Method and apparatus for distributing drugs and the like
US3606959A (en) * 1967-12-21 1971-09-21 Sound Diffusion Sales Ltd Dispensing machine with remote condition indicator
US3618819A (en) * 1969-10-07 1971-11-09 Sigma Systems Electronic counting apparatus
US3780907A (en) * 1969-10-03 1973-12-25 Parke Davis & Co System for remote control of package-dispensing station
US3823844A (en) * 1970-02-05 1974-07-16 G Beall Small article dispenser and counter
US3871156A (en) * 1974-04-03 1975-03-18 Sherwood Medical Ind Inc Pelletized medicament dispensing system
US3917045A (en) * 1974-04-25 1975-11-04 Robert L Williams Drug dispensing apparatus
US3998356A (en) * 1975-08-28 1976-12-21 Arthur A. Bennett, Jr. Electronic system for article dispensing apparatus
GB1584555A (en) * 1976-05-10 1981-02-11 Eaton Corp Materials storage and retrieval system
US4293845A (en) * 1980-04-17 1981-10-06 Villa Real Antony Euclid C Electronic multi-patient medication-time-intake programmer and alarm system
GB2093249A (en) * 1980-12-22 1982-08-25 Mengele & Soehne Masch Karl Indicating apparatus for a stock carrying system
US4473884A (en) * 1982-01-08 1984-09-25 Sybron Corporation Electronic medication dispensing system
US4573606A (en) * 1983-09-12 1986-03-04 Kermit E. Lewis Automatic pill dispenser and method of administering medical pills
WO1987000659A1 (en) * 1985-07-19 1987-01-29 Clinicom Incorporated Patient identification and verification system and method
US4655026A (en) * 1985-12-11 1987-04-07 Wigoda Luis T Pill dispensing machine
US4695954A (en) * 1984-10-31 1987-09-22 Rose Robert J Modular medication dispensing system and apparatus utilizing portable memory device
US4717042A (en) * 1986-05-28 1988-01-05 Pyxis Corporation Medicine dispenser for home health care
US4725997A (en) * 1986-08-22 1988-02-16 Aprex Corporation Contingent dosing device
US4733362A (en) * 1985-04-02 1988-03-22 Sanyo Electric Co., Ltd. Drug dispensing apparatus with a printer having programmable format
US4785969A (en) * 1986-11-10 1988-11-22 Pyxis Corporation Medication dispensing system
US4847764A (en) * 1987-05-21 1989-07-11 Meditrol, Inc. System for dispensing drugs in health care institutions
US4870799A (en) * 1987-02-27 1989-10-03 Societe Anonyme Dite: Compagnie Generale D'automatisme Cga-Hbs Installation for making up batches of articles
EP0342859A2 (en) * 1988-05-12 1989-11-23 Health Tech Services Corporation Interactive patient assistance system
EP0423893A1 (en) * 1989-10-16 1991-04-24 N.V. Nederlandsche Apparatenfabriek NEDAP Information storage and monitoring system for health centres
US5014875A (en) * 1989-03-01 1991-05-14 Pyxis Corporation Medication dispenser station
EP0439355A2 (en) * 1990-01-24 1991-07-31 Automated Healthcare, Inc. A system for filling orders
EP0471150A2 (en) * 1990-08-13 1992-02-19 Electrocom Automation L.P. Order filling system with cartridge dispenser
US5097652A (en) * 1989-08-10 1992-03-24 Sanyo Electric Co., Ltd. Drug packing apparatus
US5105600A (en) * 1990-12-11 1992-04-21 Eastman Kodak Company Flexible apparatus and method for erecting and loading cases
US5230206A (en) * 1990-05-17 1993-07-27 Ferdinand Christ Method of and system for making up consignments of articles

Family Cites Families (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2102758B (en) * 1981-07-10 1985-02-27 Pa Management Consult Packaging goods in pocketed trays
US4546901A (en) * 1984-02-02 1985-10-15 Buttarazzi Patrick J Apparatus for dispensing medication
JP2944234B2 (en) * 1991-03-06 1999-08-30 三洋電機株式会社 Drug supply device
US5213232A (en) * 1992-03-11 1993-05-25 Owen Healthcare, Inc. Rotating apparatus for dispensing single homogeneous units
DE4305328A1 (en) * 1992-11-03 1994-05-05 Kronseder Maschf Krones Method for checking bottle crates and device for carrying out the method

Patent Citations (31)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3606959A (en) * 1967-12-21 1971-09-21 Sound Diffusion Sales Ltd Dispensing machine with remote condition indicator
US3599152A (en) * 1968-11-15 1971-08-10 Robert L Williams Method and apparatus for distributing drugs and the like
US3780907A (en) * 1969-10-03 1973-12-25 Parke Davis & Co System for remote control of package-dispensing station
US3618819A (en) * 1969-10-07 1971-11-09 Sigma Systems Electronic counting apparatus
US3823844A (en) * 1970-02-05 1974-07-16 G Beall Small article dispenser and counter
US3871156A (en) * 1974-04-03 1975-03-18 Sherwood Medical Ind Inc Pelletized medicament dispensing system
US3917045A (en) * 1974-04-25 1975-11-04 Robert L Williams Drug dispensing apparatus
US3998356A (en) * 1975-08-28 1976-12-21 Arthur A. Bennett, Jr. Electronic system for article dispensing apparatus
GB1584555A (en) * 1976-05-10 1981-02-11 Eaton Corp Materials storage and retrieval system
US4293845A (en) * 1980-04-17 1981-10-06 Villa Real Antony Euclid C Electronic multi-patient medication-time-intake programmer and alarm system
GB2093249A (en) * 1980-12-22 1982-08-25 Mengele & Soehne Masch Karl Indicating apparatus for a stock carrying system
US4473884A (en) * 1982-01-08 1984-09-25 Sybron Corporation Electronic medication dispensing system
US4573606A (en) * 1983-09-12 1986-03-04 Kermit E. Lewis Automatic pill dispenser and method of administering medical pills
US4695954A (en) * 1984-10-31 1987-09-22 Rose Robert J Modular medication dispensing system and apparatus utilizing portable memory device
US4733362A (en) * 1985-04-02 1988-03-22 Sanyo Electric Co., Ltd. Drug dispensing apparatus with a printer having programmable format
WO1987000659A1 (en) * 1985-07-19 1987-01-29 Clinicom Incorporated Patient identification and verification system and method
US4655026A (en) * 1985-12-11 1987-04-07 Wigoda Luis T Pill dispensing machine
US4717042A (en) * 1986-05-28 1988-01-05 Pyxis Corporation Medicine dispenser for home health care
US4725997A (en) * 1986-08-22 1988-02-16 Aprex Corporation Contingent dosing device
US4785969A (en) * 1986-11-10 1988-11-22 Pyxis Corporation Medication dispensing system
US4870799A (en) * 1987-02-27 1989-10-03 Societe Anonyme Dite: Compagnie Generale D'automatisme Cga-Hbs Installation for making up batches of articles
US4847764A (en) * 1987-05-21 1989-07-11 Meditrol, Inc. System for dispensing drugs in health care institutions
US4847764C1 (en) * 1987-05-21 2001-09-11 Meditrol Inc System for dispensing drugs in health care instituions
EP0342859A2 (en) * 1988-05-12 1989-11-23 Health Tech Services Corporation Interactive patient assistance system
US5014875A (en) * 1989-03-01 1991-05-14 Pyxis Corporation Medication dispenser station
US5097652A (en) * 1989-08-10 1992-03-24 Sanyo Electric Co., Ltd. Drug packing apparatus
EP0423893A1 (en) * 1989-10-16 1991-04-24 N.V. Nederlandsche Apparatenfabriek NEDAP Information storage and monitoring system for health centres
EP0439355A2 (en) * 1990-01-24 1991-07-31 Automated Healthcare, Inc. A system for filling orders
US5230206A (en) * 1990-05-17 1993-07-27 Ferdinand Christ Method of and system for making up consignments of articles
EP0471150A2 (en) * 1990-08-13 1992-02-19 Electrocom Automation L.P. Order filling system with cartridge dispenser
US5105600A (en) * 1990-12-11 1992-04-21 Eastman Kodak Company Flexible apparatus and method for erecting and loading cases

Cited By (483)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7751932B1 (en) 1993-01-25 2010-07-06 Automed Technologies, Inc. Method for tracking and dispensing medical items
US6108588A (en) * 1993-01-25 2000-08-22 Diebold, Incorporated Restocking method for medical item dispensing system
US6163737A (en) * 1993-01-25 2000-12-19 Diebold, Incorporated Medical item dispensing apparatus
US5993046A (en) * 1993-01-25 1999-11-30 Diebold, Incorporated System for dispensing medical items by brand or generic name
US5720154A (en) * 1994-05-27 1998-02-24 Medco Containment Services, Inc. Enhanced drug dispensing system
USRE40453E1 (en) * 1994-05-27 2008-08-12 Medco Health Solutions, Inc. Enhanced drug dispensing system
US5745366A (en) * 1994-07-14 1998-04-28 Omnicell Technologies, Inc. Pharmaceutical dispensing device and methods
US5905653A (en) * 1994-07-14 1999-05-18 Omnicell Technologies, Inc. Methods and devices for dispensing pharmaceutical and medical supply items
US6776341B1 (en) * 1994-08-05 2004-08-17 Scott L. Sullivan Pill printing and identification
US7059526B1 (en) 1994-08-05 2006-06-13 Sullivan Scott L Pill printing and identification
US5671592A (en) * 1994-10-21 1997-09-30 Yuyama Mfg. Co., Ltd. Medicine packing apparatus
US7574370B2 (en) 1994-10-28 2009-08-11 Cybear, L.L.C. Prescription management system
US20030144884A1 (en) * 1994-10-28 2003-07-31 Christian Mayaud Computerized prescription system for gathering and presenting information relating to pharmaceuticals
US7483839B2 (en) 1994-10-28 2009-01-27 Cybear, L.L.C. Computerized prescription system for gathering and presenting information relating to pharmaceuticals
US5845255A (en) * 1994-10-28 1998-12-01 Advanced Health Med-E-Systems Corporation Prescription management system
US7072840B1 (en) 1994-10-28 2006-07-04 Cybear, L.L.C. Prescription management system
US7519540B2 (en) 1994-10-28 2009-04-14 Christian Mayaud Computerized prescription system for gathering and presenting information relating to pharmaceuticals
US20020042726A1 (en) * 1994-10-28 2002-04-11 Christian Mayaud Prescription management system
US5737539A (en) * 1994-10-28 1998-04-07 Advanced Health Med-E-Systems Corp. Prescription creation system
US7467093B1 (en) * 1994-12-16 2008-12-16 Automed Technologies, Inc Method of tracking and despensing medical items to patients through self service delivery system
US8423180B1 (en) * 1994-12-16 2013-04-16 Automed Technologies, Inc. System for tracking and dispensing medical items from environmentally controlled storage area
US5971593A (en) * 1994-12-16 1999-10-26 Diebold, Incorporated Dispensing system for medical items
US5765606A (en) * 1994-12-28 1998-06-16 Sanyo Electric Co., Ltd. Medication filling apparatus
US5678393A (en) * 1995-01-10 1997-10-21 Kabushiki Kaisha Yuyama Seisakusho Drug packing apparatus
US5966910A (en) * 1995-05-19 1999-10-19 I.M.A. Industria Macchine Automatiche S.P.A. Automatic machine for packaging tablets in gelatine capsules
US5988858A (en) * 1995-06-09 1999-11-23 Kabushiki Kaisha Yuyama Seiksakusho Method and apparatus for delivering drugs
US6308109B1 (en) * 1995-06-09 2001-10-23 Kabushiki Kaisha Yuyama Seisakusho Method and apparatus for delivering drugs
US7751930B2 (en) * 1995-08-10 2010-07-06 Pevco Systems International, Inc. Automatic empty carrier storage, retrieval and distribution system
US5805454A (en) * 1995-08-10 1998-09-08 Valerino, Sr.; Fred M. Parenteral products automation system (PPAS)
US20050273196A1 (en) * 1995-08-10 2005-12-08 Valerino Fred M Sr Automatic empty carrier storage, retrieval and distribution system
US5752368A (en) * 1995-08-23 1998-05-19 Sanyo Electric Co., Ltd. Medication filling apparatus
US5819500A (en) * 1995-08-23 1998-10-13 Sanyo Electric Co., Ltd. Medication packaging apparatus
US20050065645A1 (en) * 1995-10-18 2005-03-24 Telepharmacy Solutions, Incorporated Method for controlling a drug dispensing system
US6814254B2 (en) * 1995-10-18 2004-11-09 Telepharmacy Solutions, Incorporated Method for controlling a drug dispensing system
US7151982B2 (en) 1995-10-18 2006-12-19 Telepharmacy Solutions, Inc. Pharmaceutical dispensing system
US20030088333A1 (en) * 1995-10-18 2003-05-08 Telepharmacy Solutions, Incorporated Method for controlling a drug dispensing system
US8280549B2 (en) 1995-10-18 2012-10-02 Telepharmacy Solutions, Inc. Method for controlling a drug dispensing system
US20030121929A1 (en) * 1995-10-18 2003-07-03 Telepharmacy Solutions, Incorporated Method for controlling a drug dispensing system
US7991507B2 (en) 1995-10-18 2011-08-02 Telepharmacy Solutions, Inc. Method for controlling a drug dispensing system
US5852911A (en) * 1996-02-07 1998-12-29 Kabushiki Kaisha Yuyama Seisakusho Tablet dispenser
US5995938A (en) * 1996-02-27 1999-11-30 Whaley; Susan S. Medication compliance system
WO1997034268A1 (en) * 1996-03-11 1997-09-18 Scriptpro, L.L.C. Medicament verification in an automatic dispensing system
AU700142B2 (en) * 1996-03-11 1998-12-24 Scriptpro, L.L.C. Medicament verification in an automatic dispensing system
US5839257A (en) * 1996-04-22 1998-11-24 Automed Technologies Incorporated Drug packaging machine
US6385943B2 (en) 1996-05-03 2002-05-14 Kabushiki Kaisha Yuyama Seisakusho Drug filling machine
US6308494B1 (en) * 1996-05-03 2001-10-30 Kabushiki Kaisha Yuyama Seisakusho Drug filling packaging and labeling machine
US5946883A (en) * 1996-05-03 1999-09-07 Kabushiki Kaisha Yuyama Seisakusho Drug filling machine
US6115996A (en) * 1996-05-03 2000-09-12 Kabushiki Kaisha Yuyama Seisakusho Method of inspecting drugs contained in a vial
USRE40510E1 (en) 1996-05-07 2008-09-23 Medco Health Solutions, Inc. Automatic prescription filling, sorting and packaging system
USRE42766E1 (en) * 1996-05-07 2011-10-04 Medco Health Solutions, Inc. Automatic prescription filling, sorting and packaging system
USRE42937E1 (en) 1996-05-07 2011-11-22 Medco Health Solutions, Inc. Automatic prescription filling, sorting and packaging system
US5771657A (en) * 1996-05-07 1998-06-30 Merck Medco Managed Care, Inc. Automatic prescription filling, sorting and packaging system
USRE42730E1 (en) * 1996-05-07 2011-09-27 Medco Health Solutions, Inc. Automatic prescription filling, sorting and packaging system
US5963453A (en) * 1996-11-25 1999-10-05 Medication Management, Inc. System and method for processing prescription medications
US5884806A (en) * 1996-12-02 1999-03-23 Innovation Associates, Inc. Device that counts and dispenses pills
US6640159B2 (en) 1996-12-05 2003-10-28 Omnicell Technologies, Inc. Replacement liner and methods for a dispensing device
US7715277B2 (en) 1996-12-20 2010-05-11 Carlos De La Huerga Interactive medication container
US6611733B1 (en) 1996-12-20 2003-08-26 Carlos De La Huerga Interactive medication dispensing machine
US20030099158A1 (en) * 1996-12-20 2003-05-29 Carlos De La Huerga Interactive medication container
US6529446B1 (en) 1996-12-20 2003-03-04 Telaric L.L.C. Interactive medication container
US5832693A (en) * 1997-01-22 1998-11-10 Kabushiki Kaisha Yuyama Seisakusho Apparatus for collecting ampules
US5907493A (en) * 1997-01-31 1999-05-25 Innovation Associates, Inc. Pharmaceutical dispensing system
US7978564B2 (en) 1997-03-28 2011-07-12 Carlos De La Huerga Interactive medication container
US6259654B1 (en) 1997-03-28 2001-07-10 Telaric, L.L.C. Multi-vial medication organizer and dispenser
US7061831B2 (en) 1997-03-28 2006-06-13 Carlos De La Huerga Product labeling method and apparatus
US20010028308A1 (en) * 1997-03-28 2001-10-11 Carlos De La Huerga Interactive medication container
US6535637B1 (en) * 1997-04-04 2003-03-18 Esco Electronics, Inc. Pharmaceutical pill recognition and verification system
US6032155A (en) * 1997-04-14 2000-02-29 De La Huerga; Carlos System and apparatus for administering prescribed medication to a patient
US7048142B1 (en) 1997-04-30 2006-05-23 Automed Technologies, Inc. Apparatus for dispensing medical items
US6902083B1 (en) * 1997-04-30 2005-06-07 Automed Technologies, Inc. Method for dispensing medical items
US6776306B1 (en) * 1997-04-30 2004-08-17 Medselect Inc. Apparatus for dispensing medical items
US5787678A (en) * 1997-05-01 1998-08-04 Kabushiki Kaisha Yuyama Seisakusho Drug packaging device
US6260761B1 (en) 1997-05-30 2001-07-17 Max J. Peoples, Jr. System and method for accurately dispensing prescriptions in a pharmacy
US5941867A (en) * 1997-07-15 1999-08-24 Kao; Ti Formulation of pharmaceutical solutions in free fall
US6267753B1 (en) 1997-07-15 2001-07-31 Ti Kao Robotic medicament dispenser
US6050064A (en) * 1997-10-23 2000-04-18 Yuyama Mfg. Co., Ltd. Tablet packing apparatus
US6722545B2 (en) 1997-10-23 2004-04-20 Yuyama Mfg. Co., Ltd. Tablet cutting apparatus
US6112502A (en) * 1998-02-10 2000-09-05 Diebold, Incorporated Restocking method for medical item dispensing system
US6604019B2 (en) * 1998-05-27 2003-08-05 Nextrx Corporation Automated pharmaceutical management and dispensing system
US6098892A (en) * 1998-05-27 2000-08-08 Peoples, Jr.; Max J. Device for conversion from a pharmaceutical identification number to a standardized number and method for doing the same
WO2000006078A2 (en) * 1998-07-30 2000-02-10 Systems & Electronics Pharmaceutical pill recognition and verification system
WO2000006078A3 (en) * 1998-07-30 2000-06-15 Systems & Electronics Pharmaceutical pill recognition and verification system
US6742671B2 (en) 1998-08-27 2004-06-01 Automed Technologies, Inc. Integrated automated drug dispenser method and apparatus
US6256967B1 (en) 1998-08-27 2001-07-10 Automed Technologies, Inc. Integrated automated drug dispenser method and apparatus
US6449927B2 (en) 1998-08-27 2002-09-17 Automed Technologies, Inc. Integrated automated drug dispenser method and apparatus
US6151536A (en) * 1998-09-28 2000-11-21 Omnicell.Com Dispensing system and methods
US6175779B1 (en) 1998-09-29 2001-01-16 J. Todd Barrett Computerized unit dose medication dispensing cart
US6397558B1 (en) * 1998-10-23 2002-06-04 Yuyama Mfg. Co., Ltd. Medication packing apparatus
US6426699B1 (en) 1998-12-02 2002-07-30 David Porter Collapsible storage device for the delivery and pickup of goods
US6488192B1 (en) 1999-04-21 2002-12-03 Yuyama Mfg. Co., Ltd. Tablet cutting apparatus
US7069226B1 (en) 1999-07-07 2006-06-27 Synetic, Incorporated Prescription data processing system for determining new therapy starts
US6202923B1 (en) 1999-08-23 2001-03-20 Innovation Associates, Inc. Automated pharmacy
US6543692B1 (en) * 1999-09-03 2003-04-08 Gerhard Nellhaus Schema for identification of solid form drugs
US6735497B2 (en) 1999-09-22 2004-05-11 Telepharmacy Solutions, Inc. Systems and methods for dispensing medical products
US7006893B2 (en) 1999-09-22 2006-02-28 Telepharmacy Solutions, Inc. Systems for dispensing medical products
US20040210341A1 (en) * 1999-09-22 2004-10-21 Telepharmacy Solutions, Inc. Systems and methods for dispensing medical products
US20030216831A1 (en) * 1999-09-22 2003-11-20 Telepharmacy Solutions, Inc. Systems and methods for dispensing medical products
US6564121B1 (en) * 1999-09-22 2003-05-13 Telepharmacy Solutions, Inc. Systems and methods for drug dispensing
US20020038392A1 (en) * 1999-10-22 2002-03-28 Carlos De La Huerga Method and apparatus for controlling an infusion pump or the like
US20110196306A1 (en) * 1999-10-22 2011-08-11 Pompare Technologies, Inc. Method and Apparatus for Controlling An Infusion Pump or the Like
US9750872B2 (en) 1999-10-22 2017-09-05 B. Braun Medical Inc. Method and apparatus for controlling an infusion pump or the like
US7933780B2 (en) 1999-10-22 2011-04-26 Telaric, Llc Method and apparatus for controlling an infusion pump or the like
US9757509B2 (en) 1999-10-22 2017-09-12 B. Braun Medical Inc. Method and apparatus for controlling an infusion pump or the like
US6580968B1 (en) * 1999-11-22 2003-06-17 Yuyama Mfg. Co., Ltd. Control apparatus for dispensing machines
WO2001059691A1 (en) * 2000-02-11 2001-08-16 Scriptpro Llc Pharmacy pill counting vision system
US6367232B2 (en) * 2000-04-24 2002-04-09 Jv Medi Co., Ltd. Tablet cassette installation-error preventing system for automatic tablet supplying and packaging apparatus
US11087873B2 (en) 2000-05-18 2021-08-10 Carefusion 303, Inc. Context-aware healthcare notification system
US10275571B2 (en) 2000-05-18 2019-04-30 Carefusion 303, Inc. Distributed remote asset and medication management drug delivery system
US9069887B2 (en) 2000-05-18 2015-06-30 Carefusion 303, Inc. Patient-specific medication management system
US11823791B2 (en) 2000-05-18 2023-11-21 Carefusion 303, Inc. Context-aware healthcare notification system
US9741001B2 (en) 2000-05-18 2017-08-22 Carefusion 303, Inc. Predictive medication safety
US9600633B2 (en) 2000-05-18 2017-03-21 Carefusion 303, Inc. Distributed remote asset and medication management drug delivery system
US20010044731A1 (en) * 2000-05-18 2001-11-22 Coffman Damon J. Distributed remote asset and medication management drug delivery system
US20060265102A1 (en) * 2000-09-06 2006-11-23 Bain Walter M Automated prescription dispensing system and method of use
US20050021175A1 (en) * 2000-09-06 2005-01-27 Bain Walter M. Automated prescription dispensing system and method of use
US20070185614A1 (en) * 2000-09-06 2007-08-09 Bain Walter M Automated prescription dispensing system and method of use
US20020138305A1 (en) * 2001-03-26 2002-09-26 Fujitsu Limited Drug information processing device, medical record recording device, drug information providing system, drug information processing program storage medium, and medical record recording program storage medium
US7603197B2 (en) * 2001-03-27 2009-10-13 Yuyama Mfg. Co., Ltd. Medicine packing apparatus
US6378572B1 (en) * 2001-03-28 2002-04-30 Siemens Corporate Research, Inc. Image processing system for inspection of tablets in slab filler packaging machines
US6574861B1 (en) 2001-04-11 2003-06-10 Applied Micro Circuits Corporation System and method for solder ball rework
US6532399B2 (en) 2001-06-05 2003-03-11 Baxter International Inc. Dispensing method using indirect coupling
US6711460B1 (en) * 2001-06-18 2004-03-23 Diebold Incorporated Pharmaceutical system in which pharmaceutical care is provided by a remote professional serving multiple pharmacies
US7630788B1 (en) 2001-06-18 2009-12-08 Diebold, Incorporated Pharmaceutical system in which pharmaceutical care is provided by a remote professional serving multiple pharmacies
US20030010791A1 (en) * 2001-07-13 2003-01-16 Andrew Gentiluomo Method and apparatus for dispensing a customized pharamaceutical mixture
US6847861B2 (en) 2001-11-30 2005-01-25 Mckesson Automation, Inc. Carousel product for use in integrated restocking and dispensing system
US20040188523A1 (en) * 2001-11-30 2004-09-30 Richard Lunak Method of monitoring inventory on an open shelving system
US20040193317A1 (en) * 2001-11-30 2004-09-30 Richard Lunak Filling a restocking package using a carousel
US20070027577A1 (en) * 2001-11-30 2007-02-01 Mckesson Automation Inc. Method of filling a restocking package
US20040193316A1 (en) * 2001-11-30 2004-09-30 Richard Lunak Restocking of open shelving with a hand held device
US7010389B2 (en) 2001-11-30 2006-03-07 Mckesson Automation, Inc. Restocking system using a carousel
US7568627B2 (en) 2001-11-30 2009-08-04 Mckesson Automation, Inc. Restocking of open shelving with a hand held device
US20040188524A1 (en) * 2001-11-30 2004-09-30 Richard Lunak Method of initiating and recording a pick with a hand held device
US20040193315A1 (en) * 2001-11-30 2004-09-30 Richard Lunak Restocking system using a carousel
US8571701B2 (en) 2001-11-30 2013-10-29 Mckesson Automation Inc. Method of filling a restocking package
US7766242B2 (en) 2001-11-30 2010-08-03 Mckesson Automation, Inc. Method of monitoring inventory on an open shelving system
US7072737B2 (en) 2001-11-30 2006-07-04 Mckesson Automation, Inc. Filling a restocking package using a carousel
US7668731B2 (en) 2002-01-11 2010-02-23 Baxter International Inc. Medication delivery system
US8775196B2 (en) 2002-01-29 2014-07-08 Baxter International Inc. System and method for notification and escalation of medical data
US10173008B2 (en) 2002-01-29 2019-01-08 Baxter International Inc. System and method for communicating with a dialysis machine through a network
US20030141981A1 (en) * 2002-01-29 2003-07-31 Tuan Bui System and method for operating medical devices
US20040019464A1 (en) * 2002-01-29 2004-01-29 Martucci James P. System and method for identifying data streams associated with medical equipment
US10556062B2 (en) 2002-01-29 2020-02-11 Baxter International Inc. Electronic medication order transfer and processing methods and apparatus
US8214231B2 (en) 2002-01-29 2012-07-03 Baxter International, Inc. System and method for identifying data streams associated with medical equipment
US7698156B2 (en) 2002-01-29 2010-04-13 Baxter International Inc. System and method for identifying data streams associated with medical equipment
US20030164378A1 (en) * 2002-02-01 2003-09-04 Simson Anton K. Beverage container unloading and dispensing apparatus
US6779663B1 (en) 2002-02-06 2004-08-24 Powell John Pocsi System and method for loading pills into a pillbox
US20040207842A1 (en) * 2002-03-12 2004-10-21 Rzasa David M. System and method for pharmacy validation and inspection
US6771369B2 (en) 2002-03-12 2004-08-03 Analytical Spectral Devices, Inc. System and method for pharmacy validation and inspection
US7006214B2 (en) 2002-03-12 2006-02-28 Analytical Spectral Devices, Inc. System and method for pharmacy validation and inspection
US20030235491A1 (en) * 2002-04-22 2003-12-25 Subotincic Milos Misha End effector with multiple pick-up members
US8240726B2 (en) 2002-04-22 2012-08-14 Milos Misha Subotincic End effector with multiple pick-up members
US20090066098A1 (en) * 2002-04-22 2009-03-12 Milos Misha Subotincic End effector with multiple pick-up members
US8632294B2 (en) 2002-04-22 2014-01-21 Milos Misha Subotincic End effector with multiple pick-up members
US7390040B2 (en) 2002-04-22 2008-06-24 Milos Misha Subotincic End effector with multiple pick-up members
US8234128B2 (en) 2002-04-30 2012-07-31 Baxter International, Inc. System and method for verifying medical device operational parameters
US20030204416A1 (en) * 2002-04-30 2003-10-30 Sayeh Radpay System and method for facilitating time-based infusion orders
US8798788B2 (en) 2002-05-14 2014-08-05 Parata Systems, Llc System and method for dispensing prescriptions
US8774962B2 (en) * 2002-05-14 2014-07-08 Parata Systems, Llc System and method for dispensing prescriptions
US20050113968A1 (en) * 2002-05-14 2005-05-26 Williams Jeffrey P. System and method for dispensing prescriptions
US6990317B2 (en) 2002-05-28 2006-01-24 Wireless Innovation Interference resistant wireless sensor and control system
US20030224729A1 (en) * 2002-05-28 2003-12-04 Arnold Kenneth David Interference resistant wireless sensor and control system
US20040078231A1 (en) * 2002-05-31 2004-04-22 Wilkes Gordon J. System and method for facilitating and administering treatment to a patient, including clinical decision making, order workflow and integration of clinical documentation
US20030225728A1 (en) * 2002-05-31 2003-12-04 Moura Anthony A. Pharmacy system and method
US20030234258A1 (en) * 2002-06-25 2003-12-25 Dean Stephens Medicine compliance system
US7789267B2 (en) * 2002-08-09 2010-09-07 Mckesson Automation Systems, Inc. Vacuum pill dispensing cassette and counting machine
US7753229B2 (en) 2002-08-09 2010-07-13 Mckesson Automation Systems Inc. Vacuum pill dispensing cassette and counting machine
US20080017656A1 (en) * 2002-08-09 2008-01-24 Mckesson Automation Systems Inc. Vacuum pill dispensing cassette and counting machine
US20080017661A1 (en) * 2002-08-09 2008-01-24 Mckesson Automation Systems Inc. Vacuum pill dispensing cassette and counting machine
US20080017657A1 (en) * 2002-08-09 2008-01-24 Mckesson Automation Systems Inc. Vacuum pill dispensing cassette and counting machine
US9037285B2 (en) 2002-08-09 2015-05-19 Mckesson Automation Systems, Inc. Automated apparatus and method for filling vials
US20070208457A1 (en) * 2002-08-09 2007-09-06 Mckesson Automation Systems Inc. Method of transporting vials and cassettes in an automated prescription filling apparatus
US7831334B2 (en) 2002-08-09 2010-11-09 Mckesson Automation Systems Inc. Method of transporting vials and cassettes in an automated prescription filling apparatus
US20040034447A1 (en) * 2002-08-09 2004-02-19 Mckesson Automation Sys Inc Prescription filling apparatus implementing a pick and place method
US20060157492A1 (en) * 2002-08-09 2006-07-20 Mckesson Automation Systems, Inc. Dispensing device having a storage chamber, dispensing chamber and a feed regulator there between
US7584018B2 (en) * 2002-08-09 2009-09-01 Parata Systems, Llc Dispensing device having a storage chamber, a dispensing chamber and a feed regulator there between
US7532948B2 (en) * 2002-08-09 2009-05-12 Mckesson Automated Systems Inc. Method for filling vials in an automated prescription filling apparatus
US7506780B2 (en) 2002-08-09 2009-03-24 Mckesson Automation Systems Inc. Vacuum pill dispensing cassette and counting machine
US20070205211A1 (en) * 2002-08-09 2007-09-06 Mckesson Automation Systems Inc. Method for filling vials in an automated prescription filling apparatus
US7228198B2 (en) 2002-08-09 2007-06-05 Mckesson Automation Systems, Inc. Prescription filling apparatus implementing a pick and place method
US20070186514A1 (en) * 2002-08-09 2007-08-16 Mckesson Automation Systems Inc. Automated apparatus and method for filling vials
US20190307643A1 (en) * 2002-12-03 2019-10-10 Baxter Corporation Englewood Automated drug preparation apparatus including automated drug reconstitution
US20170027818A1 (en) * 2002-12-03 2017-02-02 Baxter Corporation Englewood Automated drug preparation apparatus including automated drug reconstitution
US10327988B2 (en) * 2002-12-03 2019-06-25 Baxter Corporation Englewood Automated drug preparation apparatus including automated drug reconstitution
US10688021B2 (en) * 2002-12-03 2020-06-23 Baxter Corporation Englewood Automated drug preparation apparatus including automated drug reconstitution
US20060175942A1 (en) * 2002-12-06 2006-08-10 Mckesson Automation Inc. High capacity drawer with mechanical indicator for a dispensing device
US20040158507A1 (en) * 2002-12-06 2004-08-12 Meek Robert B. Inventory management and replenishment system
US8019470B2 (en) 2002-12-06 2011-09-13 Mckesson Automation Inc. High capacity drawer with mechanical indicator for a dispensing device
US20090055018A1 (en) * 2002-12-06 2009-02-26 Mckesson Automation Inc. High capacity drawer with mechanical indicator for a dispensing device
US20040172283A1 (en) * 2003-02-09 2004-09-02 Vanderveen Timothy W. Medication management and event logger and analysis system
US20040155049A1 (en) * 2003-02-10 2004-08-12 Artromick International, Inc. Pill sorting device and method of use thereof
US20040154955A1 (en) * 2003-02-10 2004-08-12 Artromick International, Inc. Pill storage receptacle for use in an automated pill dispensing apparatus
US20050075907A1 (en) * 2003-03-14 2005-04-07 John Rao Emergency station kiosk and related methods
US7469213B1 (en) 2003-03-14 2008-12-23 Secure Medical, Inc. Prescription drug distribution system and methods
US8000836B2 (en) 2003-07-01 2011-08-16 Asteres, Inc. Random access and random load dispensing unit
US7857161B2 (en) 2003-07-01 2010-12-28 Asteres, Inc. Random access and random load dispensing unit
US8521327B2 (en) 2003-07-01 2013-08-27 Asteres, Inc. Random access and random load dispensing unit
US20050021173A1 (en) * 2003-07-01 2005-01-27 Pinney Linda J. System and method for providing a random access and random load dispensing unit
US7783378B2 (en) 2003-07-01 2010-08-24 Asteres, Inc. Method of conducting a sales transaction using a random access and random load dispensing unit
US20050192705A1 (en) * 2003-07-01 2005-09-01 Asteres Inc. Random access and random load dispensing unit
US7787986B2 (en) 2003-07-01 2010-08-31 Asteres, Inc. Communication network for use in automatically delivering prescriptions
US20050023286A1 (en) * 2003-07-01 2005-02-03 Asteres Inc. Random access and random load dispensing unit
US20100268377A1 (en) * 2003-07-01 2010-10-21 Asteres, Inc. Random access and random load dispensing unit
US9105142B2 (en) 2003-07-01 2015-08-11 Asteres, Inc. Random access and random load dispensing unit
US20110046778A1 (en) * 2003-07-01 2011-02-24 Asteres, Inc. Method of conducting a sales transaction using a random access and random load dispensing unit
US20110137455A1 (en) * 2003-07-01 2011-06-09 Pinney Linda J Random Access and Random Load Dispensing Unit
US20070010910A1 (en) * 2003-07-01 2007-01-11 Pinney Linda J Random access and random load dispensing unit
US8195329B2 (en) 2003-07-01 2012-06-05 Asteres, Inc. Method of conducting a sales transaction using a random access and random load dispensing unit
US7123989B2 (en) 2003-07-01 2006-10-17 Asteres, Inc. System and method for providing a random access and random load dispensing unit
US8712584B2 (en) * 2003-07-02 2014-04-29 Omnicare, Inc. Method and system for electronic assistance in dispensing pharmaceuticals
US20060161294A1 (en) * 2003-07-02 2006-07-20 Omnicare, Inc. Method and system for electronic assistance in dispensing pharmaceuticals
US9740830B2 (en) 2003-11-03 2017-08-22 Tech Pharmacy Services, Llc Method of enhanced distribution of pharmaceuticals in long-term care facilities
US9710609B2 (en) 2003-11-03 2017-07-18 Tech Pharmacy Services, Llc System of enhanced distribution of pharmaceuticals in long-term care facilities
US11348054B2 (en) 2003-11-03 2022-05-31 Tech Pharmacy Services, Llc System and method of enhanced distribution of pharmaceuticals in long-term care facilities
US9747422B2 (en) 2003-11-03 2017-08-29 Tech Pharmacy Services, Llc System and method of enhanced distribution of pharmaceuticals in long-term care facilities
US11341450B2 (en) 2003-11-03 2022-05-24 Tech Pharmacy Services, Llc Method of enhanced distribution of pharmaceuticals in long-term care facilities
US7028723B1 (en) * 2003-11-03 2006-04-18 Alouani Ali Tahar Apparatus and method for automatic prescription verification
US7055717B1 (en) 2003-11-04 2006-06-06 Ming S Koh Disposable pill dispensing chute liner
US7865263B2 (en) 2003-11-26 2011-01-04 Mckesson Automation, Inc. Integrated suite of medical tools
US20050113969A1 (en) * 2003-11-26 2005-05-26 Mckesson Automation Inc. Integrated suite of medical tools
US8170714B2 (en) 2003-11-26 2012-05-01 Mckesson Automation, Inc. Integrated suite of medical tools
US20110071667A1 (en) * 2003-11-26 2011-03-24 Mckesson Automation, Inc. Integrated suite of medical tools
US8038593B2 (en) 2003-12-05 2011-10-18 Carefusion 303, Inc. System and method for network monitoring of multiple medical devices
US20050135306A1 (en) * 2003-12-05 2005-06-23 Mcallen Christopher M. Discovery and connection management with mobile systems manager
US20050137653A1 (en) * 2003-12-05 2005-06-23 Friedman Gregory S. System and method for network monitoring of multiple medical devices
US20050171815A1 (en) * 2003-12-31 2005-08-04 Vanderveen Timothy W. Centralized medication management system
US20070158357A1 (en) * 2004-01-30 2007-07-12 Yuyama Mfg, Co., Ltd. Medicine storage and take-out apparatus
US7694846B2 (en) * 2004-01-30 2010-04-13 Yuyama Mfg. Co., Ltd. Medicine storing and dispensing apparatus
US8141330B2 (en) 2004-05-20 2012-03-27 KNAPP Logistics Automation, Inc. Systems and methods of automated tablet dispensing, prescription filling, and packaging
US20060025884A1 (en) * 2004-05-20 2006-02-02 Claus Henkel Systems and methods of automated tablet dispensing, prescription filling, and packaging
US8601776B2 (en) 2004-05-20 2013-12-10 Knapp Logistics & Automation, Inc. Systems and methods of automated dispensing, prescription filling, and packaging
US20110066260A1 (en) * 2004-08-25 2011-03-17 Carefusion 303, Inc. System and method for dynamically adjusting patient therapy
US8630722B2 (en) 2004-08-25 2014-01-14 Carefusion 303, Inc. System and method for dynamically adjusting patient therapy
US10064579B2 (en) 2004-08-25 2018-09-04 Carefusion 303, Inc. System and method for dynamically adjusting patient therapy
US7860583B2 (en) 2004-08-25 2010-12-28 Carefusion 303, Inc. System and method for dynamically adjusting patient therapy
US8340792B2 (en) 2004-08-25 2012-12-25 Carefusion 303, Inc. System and method for dynamically adjusting patient therapy
US9307907B2 (en) 2004-08-25 2016-04-12 CareFusion 303,Inc. System and method for dynamically adjusting patient therapy
US20060241806A1 (en) * 2004-09-13 2006-10-26 Michael Handfield Smart tray for dispensing medicaments
US7860603B2 (en) * 2004-09-13 2010-12-28 Michael Handfield Medicaments container with medicament authentication mechanism
US8027748B2 (en) 2004-09-13 2011-09-27 Michael Handfield Medicament container
US20060058918A1 (en) * 2004-09-13 2006-03-16 Michael Handfield Medicament inventory system and method
US7735683B2 (en) 2004-09-13 2010-06-15 Michael Handfield Smart tray for dispensing medicaments
US20080029533A1 (en) * 2004-09-13 2008-02-07 Michael Handfield Medicament container system and method
US7080755B2 (en) 2004-09-13 2006-07-25 Michael Handfield Smart tray for dispensing medicaments
US8112175B2 (en) 2004-09-13 2012-02-07 Michael Handfield Methods and apparatus for medicament tracking
US7735681B2 (en) 2004-09-13 2010-06-15 Handfield Michael Medicament container locking system and method
US7440818B2 (en) 2004-09-13 2008-10-21 Animatronics, Inc. Medicament tray inventory system and method
US7721914B2 (en) 2004-09-13 2010-05-25 Michael Handfield Container for dispensing medicaments having a compressible medium therein
US20080029532A1 (en) * 2004-09-13 2008-02-07 Michael Handfield Medicament dispensing authorization
US20080029531A1 (en) * 2004-09-13 2008-02-07 Michael Handfield Medicament dispensing authorization
US20090164042A1 (en) * 2004-09-13 2009-06-25 Michael Handfield Medicament inventory system and method
US20060213917A1 (en) * 2004-09-13 2006-09-28 Michael Handfield Smart tray for dispensing medicaments
US20080173711A1 (en) * 2004-09-13 2008-07-24 Michael Handfield Method and system for communicating with a medicaments container
US20060058725A1 (en) * 2004-09-13 2006-03-16 Michael Handfield Smart tray for dispensing medicaments
US7844362B2 (en) 2004-09-13 2010-11-30 Michael Handfield Method of intelligently dispensing medicaments
US20080035661A1 (en) * 2004-09-13 2008-02-14 Michael Handfield Medicament container
US7630790B2 (en) 2004-09-13 2009-12-08 Michael Handfield Medicament inventory system and method
US20080140251A1 (en) * 2004-09-13 2008-06-12 Michael Handfield Method and system for communicating with a medicaments container
US20060058724A1 (en) * 2004-09-13 2006-03-16 Michael Handfield Smart tray for dispensing medicaments
US20080142533A1 (en) * 2004-09-13 2008-06-19 Michael Handfield Method and system for communicating with a medicaments container
US7886931B2 (en) 2004-09-13 2011-02-15 Michael Handfield Medicament container system and method
US7751933B2 (en) 2004-09-13 2010-07-06 Michael Handfield Smart tray for dispensing medicaments
US20060058726A1 (en) * 2004-09-13 2006-03-16 Michael Handfield Medicament tray inventory system and method
US20080140252A1 (en) * 2004-09-13 2008-06-12 Michael Handfield Method and system for communicating with a medicaments container
US7908030B2 (en) 2004-09-13 2011-03-15 Michael Handfield Smart tray for dispensing medicaments
US20060219730A1 (en) * 2004-09-13 2006-10-05 Michael Handfield Container for dispensing medicaments having a compressible medium therein
US7909207B2 (en) 2004-09-13 2011-03-22 Michael Handfield Smart tray for dispensing medicaments
US7996105B2 (en) 2004-09-13 2011-08-09 Michael Handfield Medicament dispensing authorization
US7917246B2 (en) 2004-09-13 2011-03-29 Michael Handfield Lockable medicament dispensing apparatus with authentication mechanism
US7949426B2 (en) 2004-09-13 2011-05-24 Michael Handfield Medicaments container with display component
US20070187422A1 (en) * 2004-09-13 2007-08-16 Michael Handfield Smart tray for dispensing medicaments
US20060136095A1 (en) * 2004-12-22 2006-06-22 Rob Ronald H Automated pharmacy admixture system (APAS)
US7610115B2 (en) 2004-12-22 2009-10-27 Intelligent Hospital Systems Ltd. Automated pharmacy admixture system (APAS)
US7783383B2 (en) * 2004-12-22 2010-08-24 Intelligent Hospital Systems Ltd. Automated pharmacy admixture system (APAS)
US20060259195A1 (en) * 2004-12-22 2006-11-16 Eliuk Walter W Automated pharmacy admixture system (APAS)
US8694336B1 (en) 2005-02-01 2014-04-08 Webmd, Llc Systems, devices, and methods for providing healthcare information
US8296162B1 (en) 2005-02-01 2012-10-23 Webmd Llc. Systems, devices, and methods for providing healthcare information
US11590281B2 (en) 2005-02-11 2023-02-28 Carefusion 303, Inc. Management of pending medication orders
US9981085B2 (en) 2005-02-11 2018-05-29 Carefusion, 303, Inc. Management of pending medication orders
US10668211B2 (en) 2005-02-11 2020-06-02 Carefusion 303, Inc. Management of pending medication orders
US9427520B2 (en) 2005-02-11 2016-08-30 Carefusion 303, Inc. Management of pending medication orders
US10417758B1 (en) 2005-02-11 2019-09-17 Becton, Dickinson And Company System and method for remotely supervising and verifying pharmacy functions
US20060201107A1 (en) * 2005-03-10 2006-09-14 Jvm Co., Ltd. Tablet automatic packaging machine and method for automatically recognizing cassettes coupled to cartridges thereof
US7454261B2 (en) * 2005-03-10 2008-11-18 Jvm Co., Ltd. Tablet automatic packaging machine and method for automatically recognizing cassettes coupled to cartridges thereof
US20060213921A1 (en) * 2005-03-23 2006-09-28 Gazi Abdulhay Pill dispensing apparatus
US20060292492A1 (en) * 2005-06-27 2006-12-28 Nec Corporation Optical information recording medium and optical information reproducing apparatus
US20070062156A1 (en) * 2005-08-25 2007-03-22 Kim Jun H Automatic medicine packing system
US20100147868A1 (en) * 2005-09-30 2010-06-17 Yuyama Mfg. Co., Ltd. Apparatus for releasing drugs
US7931859B2 (en) 2005-12-22 2011-04-26 Intelligent Hospital Systems Ltd. Ultraviolet sanitization in pharmacy environments
US20080199353A1 (en) * 2005-12-22 2008-08-21 Intelligent Hospital Systems Ltd. Ultraviolet Sanitization In Pharmacy Environments
US20070262147A1 (en) * 2006-05-10 2007-11-15 Mckesson Automation Inc. System, method and corresponding apparatus for storing, retrieving and delivering unit dose blisters
US8483867B2 (en) 2006-05-10 2013-07-09 Mckesson Automation Inc. System, method and corresponding apparatus for storing, retrieving and delivering unit dose blisters
US20110024444A1 (en) * 2006-05-10 2011-02-03 Mckesson Automation Inc. System, Method and Corresponding Apparatus for Storing, Retrieving and Delivering Unit Dose Blisters
US20070265729A1 (en) * 2006-05-10 2007-11-15 Mckesson Automation Inc. System, method and corresponding apparatus for storing, retrieving and delivering unit dose blisters
US7748628B2 (en) 2006-05-10 2010-07-06 Mckesson Automation Inc. Systems and methods for scanning an identification code of an unknown orientation
US8036773B2 (en) 2006-05-10 2011-10-11 Mckesson Automation Inc. System, method and corresponding apparatus for storing, retrieving and delivering unit dose blisters
US20070265730A1 (en) * 2006-05-10 2007-11-15 Mckesson Automation Inc. System, method and corresponding apparatus for scanning an identification code of an unknown orientation
US8196371B2 (en) 2006-05-11 2012-06-12 Yuyama Mfg. Co., Ltd. Cap supply device
US20090241470A1 (en) * 2006-05-11 2009-10-01 Yuyama Mfg. Co., Ltd. Cap Supply Device
US20070277477A1 (en) * 2006-06-05 2007-12-06 Jun Ho Kim Method and device for identifying a tablet cassette in an automatic tablet packing machine
US20070296598A1 (en) * 2006-06-21 2007-12-27 Jun Ho Kim Apparatus for identifying support tray data and method thereof
US20080071648A1 (en) * 2006-09-20 2008-03-20 Jun Ho Kim Integrated control system and method for automatic medicine packaging apparatuses
US20080077274A1 (en) * 2006-09-22 2008-03-27 Jun Ho Kim Medicine storage cabinet
US20080099499A1 (en) * 2006-11-01 2008-05-01 Jun Ho Kim Cassette device for automatic medicine packaging apparatus
US7669733B2 (en) 2006-11-01 2010-03-02 Jun Ho Kim Cassette device for automatic medicine packaging apparatus
US20080104929A1 (en) * 2006-11-02 2008-05-08 Jun Ho Kim Apparatus and method for preventing irregular packaging for automatic medicine packing machine
US7641073B2 (en) 2006-11-02 2010-01-05 Jvm Co., Ltd. Apparatus and method for preventing irregular packaging for automatic medicine packing machine
US20080114328A1 (en) * 2006-11-09 2008-05-15 Intelligent Hospital Systems Ltd. Control of Fluid Transfer Operations
US8267129B2 (en) 2006-11-09 2012-09-18 Intelligent Hospital Systems Ltd. Control of fluid transfer operations
US20080114818A1 (en) * 2006-11-13 2008-05-15 Jun Ho Kim Method and apparatus for backing up power failure for automatic medicine packing machine
US8239214B2 (en) 2006-11-13 2012-08-07 Jvm Co., Ltd. Method and apparatus for backing up power failure for automatic medicine packing machine
US8583281B2 (en) * 2006-11-22 2013-11-12 Senticare, Inc. Medication dispenser with integrated monitoring system
US20080119958A1 (en) * 2006-11-22 2008-05-22 Bear David M Medication Dispenser with Integrated Monitoring System
US9235690B2 (en) 2006-11-22 2016-01-12 Senticare, Inc. Medication dispenser with integrated monitoring system
US20120029693A1 (en) * 2006-11-22 2012-02-02 Senticare, Inc. Medication dispenser with integrated monitoring system
US8060249B2 (en) * 2006-11-22 2011-11-15 Senticare Inc. Medication dispenser with integrated monitoring system
US7894656B2 (en) 2006-12-22 2011-02-22 Jvm Co., Ltd Method and apparatus for inspecting manual dispensing tray of automatic medicine packaging machine
US20080149522A1 (en) * 2006-12-22 2008-06-26 Jun Ho Kim Division-packaging method and apparatus for automatic medicine packaging machine
US7451583B2 (en) 2006-12-22 2008-11-18 Jvm Co., Ltd. Automatic medicine packaging machine with door lock unit
US20080149657A1 (en) * 2006-12-22 2008-06-26 Jun Ho Kim Method and apparatus for inspecting manual dispensing tray of automatic medicine packaging machine
US7549268B2 (en) 2006-12-22 2009-06-23 Jvm Co., Ltd. Division-packaging method and apparatus for automatic medicine packaging machine
US8380530B2 (en) 2007-02-02 2013-02-19 Webmd Llc. Personalized health records with associative relationships
US8756077B2 (en) 2007-02-02 2014-06-17 Webmd, Llc Personalized health records with associative relationships
US20080215367A1 (en) * 2007-02-02 2008-09-04 Webmd Health Personalized Health Records with Associative Relationships
US20080189797A1 (en) * 2007-02-07 2008-08-07 Roger Goza Computer Workstation and Method
US8274363B2 (en) * 2007-02-07 2012-09-25 Roger Goza Medical facility secured compartments and method
US8269599B2 (en) * 2007-02-07 2012-09-18 Roger Goza Computer workstation and method
US20080189779A1 (en) * 2007-02-07 2008-08-07 Roger Goza Medical Facility Secured Compartments and Method
US8190291B2 (en) 2007-04-25 2012-05-29 Asteres, Inc. Automated vending of products containing controlled substances
US20080269947A1 (en) * 2007-04-25 2008-10-30 Beane John A Automated Vending of Products Containing Controlled Substances
US20110047043A1 (en) * 2007-04-25 2011-02-24 Asteres, Inc. Automated vending of products containing controlled substances
US7783379B2 (en) 2007-04-25 2010-08-24 Asteres, Inc. Automated vending of products containing controlled substances
US20080270178A1 (en) * 2007-04-30 2008-10-30 Mckesson Specialty Distribution Llc Inventory Management System For A Medical Service Provider
US20080300794A1 (en) * 2007-05-29 2008-12-04 Mckesson Automation Inc. System, method, apparatus and computer program product for capturing human-readable text displayed on a unit dose package
US8009913B2 (en) 2007-05-29 2011-08-30 Mckesson Automation, Inc. System, method, apparatus and computer program product for capturing human-readable text displayed on a unit dose package
US20080300718A1 (en) * 2007-05-31 2008-12-04 Xerox Corporation Personalized medication packaging
US7454880B1 (en) * 2007-05-31 2008-11-25 Xerox Corporation Personalized medication packaging
US8538775B2 (en) * 2007-08-16 2013-09-17 Qualcomm Incorporated Mobile wireless medication management system
US20090048871A1 (en) * 2007-08-16 2009-02-19 Qualcomm Incorporated Mobile wireless medication management system
US20090067973A1 (en) * 2007-09-12 2009-03-12 Intelligent Hospital Systems Ltd. Gripper Device
US8271138B2 (en) 2007-09-12 2012-09-18 Intelligent Hospital Systems Ltd. Gripper device
US8534727B2 (en) 2007-10-10 2013-09-17 Langen Packaging Inc. Device with multiple engagement members
US20090257858A1 (en) * 2007-10-10 2009-10-15 Andre Weclawski Device with multiple engagement members
US8225824B2 (en) 2007-11-16 2012-07-24 Intelligent Hospital Systems, Ltd. Method and apparatus for automated fluid transfer operations
US20090126825A1 (en) * 2007-11-16 2009-05-21 Intelligent Hospital Systems Ltd. Method and Apparatus for Automated Fluid Transfer Operations
US20090188937A1 (en) * 2008-01-25 2009-07-30 Jvm Co., Ltd. Tablet distribution apparatus for auxiliary trays and driving method thereof
US7587878B2 (en) * 2008-01-25 2009-09-15 Jvm Co., Ltd. Tablet distribution apparatus for auxiliary trays and driving method thereof
US11348675B2 (en) 2008-02-20 2022-05-31 Chudy Group, LLC System and apparatus for item management
US11264124B2 (en) 2008-02-20 2022-03-01 Chudy Group, LLC System and apparatus for item management
US9672327B2 (en) 2008-02-20 2017-06-06 Chudy Group, LLC System and apparatus for item management
US9355221B2 (en) 2008-02-20 2016-05-31 Chudy Group, LLC Methods for item management
US11705236B2 (en) 2008-02-20 2023-07-18 Chudy Group, LLC System and apparatus for item management
US9355222B2 (en) 2008-02-20 2016-05-31 Chudy Group, LLC System and apparatus for item management
US11756669B2 (en) 2008-02-20 2023-09-12 Chudy Group, LLC System and apparatus for item management
US10650921B2 (en) 2008-02-20 2020-05-12 Chudy Group, LLC System and apparatus for item management
US8145353B1 (en) 2008-02-21 2012-03-27 Dennis Cotner Automated retrieval and delivery of medications
US9031690B2 (en) 2008-02-21 2015-05-12 Dennis Cotner Automated retrieval and delivery of medications
US10016554B2 (en) 2008-07-09 2018-07-10 Baxter International Inc. Dialysis system including wireless patient data
US11918721B2 (en) 2008-07-09 2024-03-05 Baxter International Inc. Dialysis system having adaptive prescription management
US11311658B2 (en) 2008-07-09 2022-04-26 Baxter International Inc. Dialysis system having adaptive prescription generation
US10224117B2 (en) 2008-07-09 2019-03-05 Baxter International Inc. Home therapy machine allowing patient device program selection
US10646634B2 (en) 2008-07-09 2020-05-12 Baxter International Inc. Dialysis system and disposable set
US10061899B2 (en) 2008-07-09 2018-08-28 Baxter International Inc. Home therapy machine
US10272190B2 (en) 2008-07-09 2019-04-30 Baxter International Inc. Renal therapy system including a blood pressure monitor
US10068061B2 (en) 2008-07-09 2018-09-04 Baxter International Inc. Home therapy entry, modification, and reporting system
US10095840B2 (en) 2008-07-09 2018-10-09 Baxter International Inc. System and method for performing renal therapy at a home or dwelling of a patient
US9280863B2 (en) 2008-07-16 2016-03-08 Parata Systems, Llc Automated dispensing system for pharmaceuticals and other medical items
US20100017296A1 (en) * 2008-07-16 2010-01-21 Spignesi Jr Robert G Automated Dispensing System for Pharmaceuticals and Other Medical Items
US20110091068A1 (en) * 2008-07-23 2011-04-21 I-Property Holding Corp Secure Tracking Of Tablets
US8626672B2 (en) 2008-07-23 2014-01-07 I-Property Holding Corp. Secure tracking of tablets
US20110188051A1 (en) * 2008-07-23 2011-08-04 I-Property Holding Corp Secure Tracking Of Tablets
US20110146835A1 (en) * 2008-08-23 2011-06-23 Robert Terzini Automated pharmacy drug handling and prescription verification system and method
WO2010022506A1 (en) * 2008-08-29 2010-03-04 PCA Services Inc. Automated apparatus for dispensing medicaments
JP2012500672A (en) * 2008-08-29 2012-01-12 ピーシーエー サービシズ インコーポレイティド Automatic drug dispenser
US10347374B2 (en) 2008-10-13 2019-07-09 Baxter Corporation Englewood Medication preparation system
US20100239169A1 (en) * 2009-03-17 2010-09-23 Mckesson Automation Inc. System And Method For Determining The Orientation Of A Unit Dose Package
US9779507B2 (en) 2009-03-17 2017-10-03 Aesynt Incorporated System and method for determining the orientation of a unit dose package
US8929641B2 (en) 2009-03-17 2015-01-06 Aesynt Incorporated System and method for determining the orientation of a unit dose package
US20100241270A1 (en) * 2009-03-18 2010-09-23 Intelligent Hospital Systems Ltd. Automated Pharmacy Admixture System
US8386070B2 (en) 2009-03-18 2013-02-26 Intelligent Hospital Systems, Ltd Automated pharmacy admixture system
US20100268380A1 (en) * 2009-04-19 2010-10-21 PCA Services Inc. Automated Apparatus for Dispensing Medicaments
US9189728B2 (en) * 2009-07-23 2015-11-17 I-Property Holding Corp. Method for the authentication of dosage forms
US20110186629A1 (en) * 2009-07-23 2011-08-04 I-Property Holding Corp Method For The Authentication Of Dosage Forms
US20150134106A1 (en) * 2009-11-25 2015-05-14 Fastcorp 3, Llc Control system for and method of controlling product delivery systems
US9333646B2 (en) * 2009-11-25 2016-05-10 Fastcorp 3, Llc Control system for and method of controlling product delivery systems
US9555189B2 (en) * 2009-11-27 2017-01-31 Bayer Intellectual Property Gmbh Fluid management device having rotating carousel with container holders for vertically positioning a container during automated spiking and injection into patient
US20120330152A1 (en) * 2009-11-27 2012-12-27 Claus-Peter Reisinger Fluid management system
RU2541841C2 (en) * 2009-12-16 2015-02-20 Конинклейке Филипс Электроникс Н.В. Sleep management vending kiosk and associated method
US20120245962A1 (en) * 2009-12-16 2012-09-27 Koninklijke Philips Electronics N.V. Sleep management vending kiosk and associated method
US20110215109A1 (en) * 2010-03-04 2011-09-08 Bailey Vern M Method and apparatus for non-linear dispensing of specific items on demand
US9073684B2 (en) 2010-03-04 2015-07-07 Vern M. Bailey Method and apparatus for non-linear dispensing of specific items on demand
US9251493B2 (en) 2010-03-09 2016-02-02 Perceptimed, Inc. Medication verification and dispensing
US9268912B2 (en) 2010-04-12 2016-02-23 Cerx Pharmacy Partners, Lp On site prescription management system and methods for health care facilities
US10192035B2 (en) 2010-04-12 2019-01-29 Cerx Pharmacy Partners, Lp Medication management systems and methods for health and health related facilities
US11928913B2 (en) 2010-04-12 2024-03-12 BTP Fund, LP Medication management systems and methods for health and health-related facilities
EP2589011A1 (en) * 2010-04-12 2013-05-08 Provider Meds, Lp On site prescription management system and methods for health care facilities
US11217058B2 (en) 2010-04-12 2022-01-04 BTP Fund, LP Medication management systems and methods for health and health related facilities
US20200411156A1 (en) * 2010-04-12 2020-12-31 BTP Fund, LP, Austin, TX Medication management systems and methods for health and health-related facilities
EP2589011A4 (en) * 2010-04-12 2015-04-15 Cerx Pharmacy Partners Lp On site prescription management system and methods for health care facilities
US11670129B2 (en) * 2010-04-12 2023-06-06 BTP Fund, LP Medication management systems and methods for health and health-related facilities
US10554937B2 (en) 2010-04-30 2020-02-04 Becton, Dickinson And Company System and method for acquiring images of medication preparations
US11838690B2 (en) 2010-04-30 2023-12-05 Becton, Dickinson And Company System and method for acquiring images of medication preparations
US11516443B2 (en) 2010-04-30 2022-11-29 Becton, Dickinson And Company System and method for acquiring images of medication preparations
US9930297B2 (en) 2010-04-30 2018-03-27 Becton, Dickinson And Company System and method for acquiring images of medication preparations
US10412347B2 (en) 2010-04-30 2019-09-10 Becton, Dickinson And Company System and method for acquiring images of medication preparation
US9399543B2 (en) 2010-07-14 2016-07-26 Parata Systems, Llc Automated pharmacy system for dispensing unit doses of pharmaceuticals and the like
US10219984B2 (en) 2010-07-14 2019-03-05 Parata Systems, Llc Automated pharmacy system for dispensing unit doses of pharmaceuticals and the like
US9272796B1 (en) * 2011-01-11 2016-03-01 Chudy Group, LLC Automatic drug packaging machine and package-less verification system
US20160292858A1 (en) * 2011-02-03 2016-10-06 Luca Natali System and method for packaged medicament inspection
US9836841B2 (en) * 2011-02-03 2017-12-05 Swisslog Italia S.P.A. System and method for packaged medicament inspection
US11734222B2 (en) 2011-03-17 2023-08-22 Carefusion 303, Inc. Scalable communication system
US10353856B2 (en) 2011-03-17 2019-07-16 Carefusion 303, Inc. Scalable communication system
US10983946B2 (en) 2011-03-17 2021-04-20 Carefusion 303, Inc. Scalable communication system
US11366781B2 (en) 2011-03-17 2022-06-21 Carefusion 303, Inc. Scalable communication system
US20140303774A1 (en) * 2011-09-29 2014-10-09 Beaver Machine Corporation Vending machine comprising containers, to be loaded with selected products and then sealed before delivery
US20140367221A1 (en) * 2011-10-18 2014-12-18 Rxsafe Llc Pharmaceutical storage and retrieval system
US9334112B2 (en) * 2011-10-18 2016-05-10 Rxsafe, Llc Pharmaceutical storage and retrieval system
US11328803B2 (en) 2011-12-21 2022-05-10 Deka Products Limited Partnership Pill dispenser
US10185812B2 (en) 2011-12-21 2019-01-22 Deka Products Limited Partnership Pill dispenser
US9465919B2 (en) 2011-12-21 2016-10-11 Deka Products Limited Partnership Pill dispenser
US11728021B2 (en) 2011-12-21 2023-08-15 Deka Products Limited Partnership Pill dispenser
US10839953B2 (en) 2011-12-21 2020-11-17 Deka Products Limited Partnership Pill dispenser
US9400873B2 (en) 2011-12-21 2016-07-26 Deka Products Limited Partnership System, method, and apparatus for dispensing oral medications
US10229321B2 (en) 2012-01-23 2019-03-12 Perceptimed, Inc. Automated pharmaceutical pill identification
US10467477B2 (en) 2012-01-23 2019-11-05 Perceptimed, Inc. Automated pharmaceutical pill identification
US9842257B2 (en) 2012-01-23 2017-12-12 Perceptimed, Inc. Automated pharmaceutical pill identification
US9443370B2 (en) 2012-03-26 2016-09-13 Omnicare, Inc. Method and apparatus for onsite distribution of medications and medical supplies
US10089443B2 (en) 2012-05-15 2018-10-02 Baxter International Inc. Home medical device systems and methods for therapy prescription and tracking, servicing and inventory
WO2014018499A1 (en) * 2012-07-23 2014-01-30 Pharmadva, LLC Object dispenser having a variable orifice and image identification
US9501887B2 (en) 2012-07-23 2016-11-22 Pharmadva, LLC Object dispenser having a variable orifice and image identification
US10360751B2 (en) 2012-07-23 2019-07-23 Pharmadva, LLC Object dispenser having a variable orifice and image identification
US10062457B2 (en) 2012-07-26 2018-08-28 Carefusion 303, Inc. Predictive notifications for adverse patient events
US11629910B2 (en) 2012-08-23 2023-04-18 Trumed Systems, Inc. Smart storage of temperature sensitive pharmaceuticals
US9909802B2 (en) 2012-08-23 2018-03-06 Trumed Systems, Inc. Smart storage of temperature sensitive pharmaceuticals
US10823499B2 (en) 2012-08-23 2020-11-03 Trumed Systems, Inc. Smart storage of temperature sensitive pharmaceuticals
US9733012B2 (en) 2012-08-23 2017-08-15 Trumed Systems, Inc. Smart storage of temperature sensitive pharmaceuticals
US10552577B2 (en) 2012-08-31 2020-02-04 Baxter Corporation Englewood Medication requisition fulfillment system and method
US10646405B2 (en) 2012-10-26 2020-05-12 Baxter Corporation Englewood Work station for medical dose preparation system
US10971257B2 (en) 2012-10-26 2021-04-06 Baxter Corporation Englewood Image acquisition for medical dose preparation system
US11182728B2 (en) 2013-01-30 2021-11-23 Carefusion 303, Inc. Medication workflow management
US10867265B2 (en) 2013-03-13 2020-12-15 Carefusion 303, Inc. Predictive medication safety
US10937530B2 (en) 2013-03-13 2021-03-02 Carefusion 303, Inc. Patient-specific medication management system
US11615871B2 (en) 2013-03-13 2023-03-28 Carefusion 303, Inc. Patient-specific medication management system
US10029047B2 (en) 2013-03-13 2018-07-24 Carefusion 303, Inc. Patient-specific medication management system
US10723541B2 (en) 2013-03-15 2020-07-28 Hero Health, Inc. Networked management of dispensables
US10160588B2 (en) 2013-03-15 2018-12-25 Hero Health, Inc. Dispensing cartridge
US10430554B2 (en) 2013-05-23 2019-10-01 Carefusion 303, Inc. Medication preparation queue
US9731895B2 (en) 2013-12-07 2017-08-15 Trumed Systems, Inc. Automated smart storage of temperature sensitive products
US10836578B2 (en) 2013-12-07 2020-11-17 Trumed Systems, Inc. Automated smart storage of temperature sensitive products
US11787632B2 (en) 2013-12-07 2023-10-17 Trumed Systems, Inc. Automated smart storage of temperature sensitive products
US20230230667A1 (en) * 2013-12-18 2023-07-20 Stuart Renwick Locklear Automated pill dispenser
US11610657B2 (en) 2013-12-18 2023-03-21 Stuart Renwick Locklear Automated pill dispenser
US10984901B1 (en) 2013-12-18 2021-04-20 Stuart Renwick Locklear Method and system to implement medical information tracking system and medication dispenser
US11367533B2 (en) 2014-06-30 2022-06-21 Baxter Corporation Englewood Managed medical information exchange
US10106283B2 (en) 2014-08-05 2018-10-23 Hero Health, Inc. Dispensable unit retrieval mechanism
US10633135B2 (en) 2014-08-05 2020-04-28 Hero Health, Inc. Dispensable unit retrieval mechanism
US20160039553A1 (en) * 2014-08-05 2016-02-11 Makefield Llc Dispensable unit identification
US9731853B2 (en) 2014-08-05 2017-08-15 Makefield Llc Networked notification for dispensable units
US11791028B2 (en) 2014-08-05 2023-10-17 Hero Health Inc. Dispensable unit retrieval mechanism
US11139057B2 (en) 2014-08-05 2021-10-05 Hero Health, Inc. Dispensable unit retrieval mechanism
US10692207B2 (en) 2014-09-08 2020-06-23 Becton, Dickinson And Company System and method for preparing a pharmaceutical compound
US10853938B2 (en) 2014-09-08 2020-12-01 Becton, Dickinson And Company Enhanced platen for pharmaceutical compounding
US11341641B2 (en) 2014-09-08 2022-05-24 Becton, Dickinson And Company Aerodynamically streamlined enclosure for input devices of a medication preparation system
US11568537B2 (en) 2014-09-08 2023-01-31 Becton, Dickinson And Company Enhanced platen for pharmaceutical compounding
US10679342B2 (en) 2014-09-08 2020-06-09 Becton, Dickinson And Company Aerodynamically streamlined enclosure for input devices of a medication preparation system
US11763448B2 (en) 2014-09-08 2023-09-19 Becton, Dickinson And Company System and method for preparing a pharmaceutical compound
US11107574B2 (en) 2014-09-30 2021-08-31 Baxter Corporation Englewood Management of medication preparation with formulary management
US11575673B2 (en) 2014-09-30 2023-02-07 Baxter Corporation Englewood Central user management in a distributed healthcare information management system
US10818387B2 (en) 2014-12-05 2020-10-27 Baxter Corporation Englewood Dose preparation data analytics
US10025908B1 (en) * 2015-02-25 2018-07-17 Leonardo Y. Orellano Medication adherence systems and methods
US10555873B2 (en) * 2015-05-26 2020-02-11 Michel Poirier Modular medication dispensing system
WO2016205666A1 (en) * 2015-06-18 2016-12-22 Medsentry, Inc. Medication dispensing device and method
US11495334B2 (en) 2015-06-25 2022-11-08 Gambro Lundia Ab Medical device system and method having a distributed database
US11027872B2 (en) 2015-08-25 2021-06-08 Chudy Group, LLC Plural-mode automatic medicament packaging system
US11542054B2 (en) 2015-08-25 2023-01-03 Chudy Group, LLC Plural-mode automatic medicament packaging system
US10427819B2 (en) 2015-08-25 2019-10-01 Chudy Group, LLC Plural-mode automatic medicament packaging system
KR20170129581A (en) * 2016-05-17 2017-11-27 전윤식 Device for expiration date indicating wrapped drug
US11013857B2 (en) 2016-07-06 2021-05-25 Bayer Healthcare Llc Contrast heating system with in-line contrast warmer
US11516183B2 (en) 2016-12-21 2022-11-29 Gambro Lundia Ab Medical device system including information technology infrastructure having secure cluster domain supporting external domain
US10242161B2 (en) * 2017-03-16 2019-03-26 JB-Create, Inc. Automatic drug dispensing and picking sytem
US10358247B2 (en) 2017-10-27 2019-07-23 Chudy Group, LLC Compartmentalized container loading and management system
US11242170B2 (en) 2017-10-27 2022-02-08 Chudy Group, LLC Compartmentalized container loading and management system
US10829258B2 (en) 2017-10-27 2020-11-10 Chudy Group, LLC Compartmentalized container loading and management system
US10857070B2 (en) 2018-06-04 2020-12-08 The Trustees Of Indiana University Method and system for autonomously measuring, recording, and reporting changes in the interior content of containers

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CA2110774A1 (en) 1995-06-07
EP0656200A3 (en) 1996-02-28

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